Tariff 8520, provides remuneration for the patients admitted under your care while on rotation in the hospital. 8520 is billable every day from admission to discharge regardless of whether they ​“saw” the patient on any particular day.

During hospitalization, if the patient develops a new problem or their condition deteriorates, the attending physician may need to perform a complete examination or re-examination of the patient. In these situations, it is permissible to claim a different hospital visit tariff, e.g., Tariff 8540 Complete History and Examination, in lieu of Tariff 8520 for that day. The attending physician resumes claiming Tariff 8520 on the following day and thereafter. 

For units with rotational coverage of in-patient care, a complete examination may not be substituted for Tariff 8520 solely due to the changeover of attending physicians, except as noted below.

Billing Notes — Tariff 8520

• Tariff 8520 may be claimed in addition to the applicable tariff for a complete/​regional visit or consultation service on the same day when the visit or consultation was provided in the Emergency Room or Outpatient Department before the hospital admission. If a patient is directly admitted to the ward by the ER physician, only 8520 or 8540 may be claimed on the 1^st day.
• When a visit to an in-patient necessitates a special trip, a Special Call (e.g., Tariff 8563 or Tariff 8567) may be claimed, even if a visit or examination fee is not billable. If the special trip was provided after hours on an urgent or emergent basis, after-hours premiums are also applicable to the special call.
• After-hours premiums may not be claimed in conjunction with Tariff 8520.
• Tariff 8520 may not be claimed during the inclusive post-operative care period for a patient following a major surgical treatment.
• Alternately-funded physicians who provide emergency coverage to a Rural Community Urgent and Emergency Medical Services facilities are not entitled to claim tariff 8520 unless specifically permitted to do so in their contract.
• According to the Rules of Application governing chronic care, visits will be claimable on a per-visit basis after the date of medical discharge.
• In Manitoba Health-recognized clinical teaching units (CTUs) only, a complete examination or complete re-examination may be claimed in lieu of Tariff 8520 for all patients upon the attending physician’s changeover. Manitoba Health recognizes the following:
  • Medical CTUs HSC (3 units: A4, D4, H4), SBH (2 Units: A & B)
  • Pediatric CTUs: Children’s Hospital (Oak, Elm, Pine)
  • Cardiology CTUs SBH
  • Grace Hospital Acute Medical Services Unit
  • St. Boniface Family Medicine CTU
  • Respirology CTU

Also, a CTU attending physician may claim Tariff 8526. See below for further information regarding Tariff 8526.

Tariff 8526 — CTU Patient Care Supplement — per day

Notes:

1. May be claimed by the CTU attending physician for each patient admitted to a CTU recognized by Manitoba Health.
2. Tariff 8520 and/​or other applicable visit/​examination services are payable also.

Billing Note:

Tariff 8526 is to be billed once per patient per day by the CTU attending physician in addition to Tariff 8520.