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Medical and surgical specialist billing
As a specialist, before you perform expedited surgery on an injured worker, you must have a written approval from the worker's claims officer.
Billing for non-expedited services
Billing by private surgical centres
Billing for expedited consultations
Billing for expedited surgery
GST and PST
Rejected billings
For more information
Billing for non-expedited services
To bill WorkSafeBC for non-expedited services, use MSP Teleplan as outlined in the BCMA/WorkSafeBC Memorandum of Agreement. For a list of possible fee codes, view the Fee items for non-expedited services table.
Billing by private surgical centres
A private surgical facility under contract with WorkSafeBC bills by completing the Surgical Centre Billing Invoice (PDF 87kb) and faxing to 604 244-6292 or toll-free at 1 888 922-3299.
When completing the invoice, use the following guidelines:
- Do not bill for anaesthetist or orthopaedic (or other assisting surgeon) rates
- Use one invoice per patient
Billing for expedited consultations
- Expedited specialist consultation should be billed via Teleplan.
- Before billing WorkSafeBC for expedited consultations, fax a copy of the Consultation Report to 604 276-3195 or 1 888 922-3299 using the Consult Report Cover Sheet (PDF 56kb).
- After faxing the report, bill WorkSafeBC through Teleplan using the appropriate fee code per the WorkSafeBC/BCMA Agreement to bill for expedited consultations.
Billing for expedited surgery
Before expedited surgery is performed on an injured worker, authorization must be received from the worker's claim officer. An Authorization Request for Expedited Surgery must be submitted within 10 business days of WorkSafeBC's receipt of the expedited consult report.
The surgery must then be performed within 40 business days of the initial consultation, except for shoulders and spines where surgery must be performed within 60 business days of the last visit. The operative reports must be received by WorkSafeBC within 20 business days of the date of surgery.
Procedures performed outside the expedited timeframes will be paid at MSP rates.
Billings for expedited surgery are to be submitted through Teleplan, except for expedited extensive spines (use the Summary Invoice for Expedited Surgery). For physicians providing surgical assist services, complete the Expedited Surgery Summary Invoice - Assist (PDF 58kb).
When completing the invoice:
- Submit only one invoice per patient.
- In the Time column, indicate how long it took to perform the surgery (measured in decimals of an hour, from scrub to conclusion of dictation, assuming the dictation immediately followed the procedure).
- Fax the Operating Room (OR) Report and the anaesthetic record to WorkSafeBC. WorkSafeBC cannot authorize payment without these reports.
To bill for a surgeon's time
Complete the Expedited
Surgery Summary Invoice - Surgery (PDF 60kb) and fax it to 604 244-6292
or toll-free at 1 888 669-9970 along with the Operating Room (OR) Report.
To bill for anesthesia
Complete the Expedited
Surgery Summary Invoice - Anesthesia (PDF 58kb) and fax it to 604
244-6292 or toll-free at 1 888 669-9970.
To bill for surgical assistants
Complete the Expedited
Surgery Summary Invoice - Assist (PDF 58kb) and fax it to 604 244-6292
or toll-free at 1 888 669-9970.
GST and PST
As a provincially legislated body, WorkSafeBC is GST exempt. We will, however, pay PST when applicable.
Rejected billings
If there is a problem with one of your invoices, you will be notified. If you need help in understanding where the problem lies in a surgical invoice, contact the Visiting Specialists' Clinic at 604 214-6700 or toll-free at 1 888 967-5377, local 6700. For Teleplan billing inquiries, contact Health Care Services at 604 276-3085 or toll-free at 1 888 422-2228.
For more information
If you have questions about how to complete invoices for expedited services, contact Payment Services Department at 604-276-3085, or 1-888-422-2228.
The B.C. Ministry of Health Services provides guidelines for billing other agencies by Teleplan.
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