Quick Links
Customer Centres
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
HST
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 1 888 922-8807.
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.
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 spine surgery. To bill for expedited extensive spine surgery, please use Form 83D8 – Summary Invoice For Expedited Surgery and fax along with the operative report. If the patient does not have a valid B.C. provincial health number, then please use Form 83D8 and fax to WorkSafeBC.
Billing for expedited surgery is as follows:
Trauma/emergency surgery:
- Bill only one (1) WorkSafeBC-BCMA time-based fee code (Level 1, 2, 3, etc.) based on duration of surgery
- Bill only one (1) MSP surgical procedure fee code, regardless of number of procedures performed
- Bill appropriate out-of-office surcharges for weekend/holiday, evening, or night. One MSP surcharge is applicable to the MSP surgical procedure fee code and one WorkSafeBC-BCMA surcharge is applicable to the WorkSafeBC-BCMA time-based (Level) fee code
- Bill initial expedited comprehensive consultation if report meets submission guidelines
- Bill appropriate call out charge if applicable
Elective surgery:
- Bill only one (1) WorkSafeBC-BCMA time-based fee code (Level 1, 2, 3, etc.) based on duration of surgery
- Bill only one (1) MSP surgical procedure fee code, regardless of number of procedures performed
Billings for expedited surgical assists are to be submitted through Teleplan, except for expedited sessional extensive spine surgical assist. If you do not have Teleplan, please submit the following invoice by fax: Form 11A – Physician’s Invoice. If the patient does not have a valid B.C. provincial health number, then please use Form 11A and fax to WorkSafeBC. For the exception of expedited sessional extensive spine surgical assist, submit the following invoice by fax: Form 83D9 – Summary Invoice for Extensive Spine Surgical Assist.
Billing for expedited surgical assist is as follows:
- Bill only one (1) WorkSafeBC-BCMA time-based fee code (Level 1, 2, 3, etc.) based on duration of surgery
- Bill only one (1) MSP surgical assist fee code, based on cost of MSP surgery fee code
- Bill appropriate out-of-office surcharges for weekend/holiday, evening, or night. One MSP surcharge is applicable to the MSP surgical assist fee code, and one WorkSafeBC-BCMA surcharge is applicable to the WorkSafeBC-BCMA time-based (Level) fee code
Billings for Expedited Anaesthesiology are to be submitted through Teleplan using the appropriate MSP anaesthesiology surgical fee code and the WorkSafeBC-BCMA unique time-based fee code. Please fax the anaesthetic record to 604 233-9777 or toll-free 1 888-922-8807.
Billings for Expedited Sessional Extensive Spine Anaesthesiology are to be submitted using Form 83D10 – Summary Invoice for Anaesthesia faxed to WorkSafeBC. Please fax the anaesthetic record along with your invoice.
Billings for Expedited Sessional Anaesthesiology Nerve Blocks – Personal Services Agreement are to be submitted using Form 83D10 – Summary Invoice for Anaesthesia faxed to WorkSafeBC. Please fax the nerve block (operative) procedure report along with your invoice.
When a patient does not have a valid B.C. provincial health number, for either expedited anaesthesiology or expedited sessional extensive spine anaesthesiology, please use Form 83D10 – Summary Invoice for Anaesthesia.
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 check the status of an invoice payment from WorkSafeBC online, go to Check invoice payment status.
HST
Effective July 1st, WorkSafeBC will pay HST for all taxable goods and services.
As a service provider to WorkSafeBC, it is your responsibility to determine if your services/goods are subject to the HST.
If you will be invoicing WorkSafeBC for HST:
- If applicable, indicate your GST/HST registration number in the invoice
- HST should be indicated on your invoice for each item. The indication can either specify the HST amount, or be a clearly identified “indicator” (a checkmark, for example) to show that HST should be applied to this item.
- If you do not indicate the HST per invoice item, your invoice will be processed as an exception. This will result in delays in processing your invoice, and generating your payment.
- Once your invoice is processed you will receive two separate payments from WorkSafeBC: one payment for the invoice items and a separate payment for the HST amount.
WorkSafeBC has revised its invoice forms to reflect the introduction of HST. The revised invoice forms will be available on www.WorkSafeBC.com by July 1, 2010.
For more information about the HST, please see the Tax Information Notice issued by the Ministry of Finance. You may also wish to contact your accountant or the Canada Revenue Agency.
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.
 |
 |
To view PDF documents you must have Adobe Acrobat Reader installed on your system. To obtain a copy of the free reader visit the Adobe web site. |