Effective November 1, 2010, the Doctors of BC (formerly BCMA) and the government of BC reached an agreement on a new set of criteria for the call back component of MOCAP. This involves a new process to submit a call back that includes a Call Back Invoice Form and Verification Form. Effective as of April 1, 2012, within the updated Physician Master Agreement (PMA), this process now applies to Surgical Assist Call Back submissions.
Call back criteria
All physicians who anticipate providing call back or initiating a call back, including surgical assist services, should familiarize themselves with the criteria and process for submitting a claim. To qualify for call back, there are a number of key criteria that must be met as part of the process, including:
Treatment is required on an emergency basis.
At the time of call back, the physician is not already on site, on shift or on call.
The physician goes into a hospital (or other designated facility) to treat the patient within three (3) hours of being called.
The patient is a third party or ‘orphaned’ patient (i.e. is not already a patient of the physician or the physician’s call group).
Call back reimbursement process
Effective immediately the process for call back reimbursement is as follows:
Physician ensures that he/she collects a Call Back Verification Form
detailing the request from the physician or hospital staff member who initiated the call back request.
The physician forwards both forms together to their designated Interior Health Senior Medical Director for review and approval.
Claims must be submitted within 30 days of the call.
Once approved, the Senior Medical Director forwards both forms to IH Physician Compensation for payment.