Physicians may now submit their Preventive Care Bonus targets attained for the 2016-2017 MOHLTC fiscal yearSubmissions are open from April 1st to the September 2017 claims submission cut-off date.

How do I calculate my Preventive Care Bonus threshold?Important Dates

The goal is to calculate how many of your enrolled patients have received their Preventive Care services within the relevant screening intervals. i.e. [Number of Patients / (Target Population – Excluded Patients)] * 100%

You must then bill the appropriate billing code that corresponds to the percentage threshold reached in your Preventive Care efforts.

Cirrus Tips to Preventive Care Billing:

  • Make sure to bill your relevant Preventive Care Bonus code(s) and backdate it to March 31, 2017 to reflect your performance in the 2016-2017 fiscal year.
  • The MOHLTC Preventive Care Target Population/Service Report (Previous & Projected) was issued in late April 2017. This report can be used to assist you in calculating your target thresholds attained.
  • Another tool in managing and tracking your Preventive Care in the Colorectal, Cervical and Breast Cancer Screening categories is to sign up for the Screening Activity Report (SAR) by clicking here.

In order to ensure that you have been paid your bonus for the previous fiscal year, you may review your monthly Remittance Advice under the “Preventive Care Bonus Accumulations and Payment” section in the months following submission.

For further assistance or clarification on accurately billing for your Preventive Care Bonus, please do not hesitate to contact your Cirrus Consultant at any time.

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