How to Bill FHO+ Hourly Rate Codes as Non-Patient-Specific Claims in HYPEMedical

How do I Bill FHO+ Hourly Rate Codes with HYPEMedical?

FHO+ Hourly Rate Codes are billed, for time spent working, servicing your practice. 
source: https://www.ontario.ca/document/ohip-infobulletins-2026/bulletin-260309-2024-physician-services-agreement-fho-hourly-rate#section-1

Notes
FOLLOW: Check this article frequently as we Automate the FHO+ Hourly Billing in HYPEMedical

Claim entry steps for FHO+ Hourly Rate Codes (Version 3)

  1. Create a fictitious patient record
    Use your first hourly rate claim to create a fictitious patient record. In the example above, the name “Hourly rates” was used. On future hourly rate claims, search for “Hourly rates” and use that same record again.

  2. Complete the blue patient section carefully
    In the blue section of the claim, do not include regular patient demographics beyond the fictitious name “Hourly rates.” Follow the example in the image below.

  3. Enter the Service Codes & calculate the Number of Services

    1. Use the Filter function in the Results tab in Billing Cycle to list all Rostered records (Note=Rostered) by Service Code. (See "HYPEMedical's Strategy to Automate "Counting The Minutes" Billing Cycle instructions at bottom of this page). 
    2. Multiply the average number of minutes each service code type requires for K301 (Q311), and non-K301 and K300 claims (Q310).

      1. To Manually calculate the Number of Services
        1. Total the minutes for Q311 and Q310
        2. Calculate your eligible Q312 and Q313 minute maximum: (Q312 + Q313) max is 25% of Q310 + Q311 + Q312 + Q313
          1. Your calculation: (Q312 + Q313) = (Q310 + Q311)/3
          2. Q313 = (Q312 + Q313)/5 and Q312 = Q313 X 4
        3. A monthly hourly claim must be proportioned with Q310 + Q311 making 75%, Q312 at 20% (max.) + Q313 at 5% (max)
        4. Next calculate the number of units per code, Grand total minutes divided by 15 minutes per unit; Round up 8 or over reamining minutes, otherwise round down.

  4. Enter the service date

  5. Save the claim
Click Save, check Save Claim Anyways and click Save, again.


Notes
We will also be automating the following process in HYPEMedical
 HYPEMedical's Strategy to Automate "Counting The Minutes":
  1. Contact support at Hype Systems to ensure that you are using HYPEMedical's Rostered Patient function.
  2. Before opening a Create Claim form, open Billing Cycle
  3. Enter the Service Date range within the billing month
  4. In the Report Columns panel checkmark " Note" into your normal selection of columns
  5. Click Find.


Use the Filter function in the Results tab in Billing Cycle to list all Rostered records (Note=Rostered) by Service Code 
Multiply the average number of minutes each service code type requires for K301 (Q311), and non-K301 and K300 claims (Q310). 
Calculate the minute grand totals for Q311 and Q310

Notes

  • Treat these as daily/monthly total claims, not patient-by-patient hourly claims.
  • Do not link the hourly rate claim to a patient health card number.
  • These claims are meant to be entered as date-based hourly claims.
  • Reuse the same fictitious patient record, such as “Hourly rates,” for future hourly-rate claim entry.

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