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.  Creating the claim in HYPEMedical is discussed below:

Claim entry steps for FHO+ Hourly Rate Codes

  1. 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 above.

    3. Enter the service codes

    Add the relevant hourly rate code for the service date you are billing: Q310, Q311, Q312 or Q313. Enter a separate claim line for each code being billed for that date.

    4. Enter the service date

    Enter the date the work was done.

    5. Calculate the units

    Convert your total time for each code into 15-minute units:

    • 1 hour = 4 units
    • Extra time of 8 minutes or more rounds up to the next unit

    Enter the total units for each service code for that service date (image below), as in the example in the image above.




6. Save the claim

Click Save, check Save Claim Anyways and click Save, again.

NotesTreat these as daily total claims, not patient-by-patient hourly claims. Do not link the hourly-rate claim to a patient health card number. These are intended to be
submitted as date-based hourly claims.


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.


  6. Use the Filter function in the Results tab in Billing Cycle to list all Rostered records (Note=Rostered) by Service Code 
  7. Multiply the average number of minutes each service code type requires for K301 (Q311), and non-K301 and K300 claims (Q310). 
  8. Calculate the minute grand totals for Q311 and Q310
  9. 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. Q312 = (Q312 + Q313)/5 and Q313 = Q312 X 4
  10. Next calculate the number of units, 15 minutes per unit; Round up 8 or over reamining minutes, otherwise round down.

The Note field in the Claim form can be used to note exceptionally long or short sessions.
 




  1. At the beginning of the next month, run a Billing Cycle search (includes the Note field in column selection) for the previous month.
  2. Review the total number of eligible rostered-patient claims and the related service-code breakdown.
  3. Use those totals to estimate the physician’s eligible Q310 and Q311 minutes. Add any exceptional or unusually time-consuming cases before calculating the final monthly amount for submission.

This update does not yet replace the physician’s final time calculation. It is designed to reduce manual counting, organize the billing evidence, and make the monthly OHIP FHO+ calculation process more consistent.


Notes

  • Treat these as daily 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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