Consultative services for referred patients. Includes examination, review of history, laboratory, X-Ray findings, and additional visits necessary to render a written report. May be in-hospital, institutional, in office, out of office, telehealth..
97402
Clinical Coordination and Planning
1 Diagnostic Code
Not previously billed
Review of referrals, communication with referring physicians, discussion with other specialties, planning of patients care.
97403
Visit
1 Diagnostic Code
Previously 108
May need start and stop times in the future.
Physical examination (history, functional inquiry, record of findings, diagnosis) and/or counselling (discussion with patient, caregiver, or relative about medical condition). May be in-hospital, institutional, in office, out of office, telehealth.
97404
Clinical Rounds or Conferencing
1 Diagnostic Code
Previously 108
Meeting to discuss and plan medical management of patients. Includes multi-disciplinary rounds and morbidity and mortality rounds.
97405
Patient communication for care management
1 Diagnostic Code
Not previously billed
In-patient location code H
Communication between the physician and patient or a patient’s representative regarding patient care.
PIP (draft will be formalized)
Start Time: Enter the time you started your scheduled on-site shift.
End Time: Enter the time you ended your shift.
Scheduled (non virtual): Enter the number of minutes/hours (to the closest 15 min. interval) you completed of scheduled shift between your start and start times.
Scheduled hours include Day Shift hours between 0800-1700, Evening Shift Hours between 1700-0100, Admissionist 1 between 0800-1400, Admissionist 2 between 1400- 2000 and the 4 hours included in the Overnight Guarantee during the Night Shift.
Scheduled (virtual): Not Applicable
Unscheduled (hours bank): Enter the number of minutes/hours (to the closest 15 min. interval) you completed outside your scheduled shift between your start and start times.
Unscheduled (hours bank) hours include hours outside the Day Shift hours between 0800-1700, Evening Shift Hours between 1700-0100, Admissionist 1 between 0800-1400, Admissionist 2 between 1400-2000 and hours not included in the 4 hours Overnight Guarantee during the Night Shift.
Direct Hrs: Automatically generated column that is populated based on the sum of the “Scheduled (non-virtual),” “Scheduled (virtual),” and “Unscheduled (hours bank)” columns.
Clinical Admin Hrs: Enter the minutes/hours (to the closest 15 min. interval) you completed of clinical admin work between your start and start times.
Hrs Unallocated: Automatically generated column populated based on the number of hours between your start and end times minus the number of hours you input in the Scheduled/Direct Hrs, the Indirect Hrs, and the Clinical Admin Hrs columns.
This number should be “0”. If it is not “0”, you have missed accounting for some of your hours based on the start and end times you entered.
Hrs: Automatically generated column calculated by adding up the number of hours input in the Scheduled (non-virtual),” “Scheduled (virtual),” “Unscheduled (hours bank)” and “Clinical Admin Hrs” columns
Amount Invoiced: Automatically generated column that is calculated based on the contract FTE definition, number of hours invoiced, and 100% of the Hospitalist APSA Practice Category rate.
On/Off Site: Select an option on the dropdown menu whether the services you provided were Onsite or Offsite. On Site is defined as physically being at VJH when providing services under this Contract. Off Site is not being physically at VJH when providing services under this Contract. As per Appendix 4, Article 1a of the Contract.