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Major overhaul of Quebec physician billing system underway

Quebec is in the process of revising its out-of-date and overly-complex billing system for fee-for-service physicians.

A series of agreements between the group representing general practitioners in the province (Fédération des médecins omnipraticiens du Québec), the group representing specialists (Fédération des médecins spécialistes du Québec) and the provincial health ministry has prompted the Régie de l’assurance maladie du Québec (RAMQ) to set up a new fee-for-service billing system, SYRA, which will be introduced throughout Quebec starting in April 2016.

SYRA will bring long-awaited changes that will streamline the information required to pay claims, eliminating over 900 modifiers and replacing them with 120 contextual elements. Claims will be processed individually, in real time, and the system will immediately indicate the claim amount approved.

SYRA will also make it possible to cancel, change, or correct a claim with the simple click of a mouse. In the current system, changes can only be made using a hard-copy correction form and can take several months to process.

Furthermore, RAMQ will stop prepaying claims and validating them at a later date — a practice that has caused headaches for many health care professionals. In certain cases, doctors have had RAMQ deny a claim that they authorized for prepayment three years prior.

RAMQ is not planning on providing any training on their new tool, so physicians can expect a transition period as they learn to use SYRA.

“We urge you to learn about the new system and equip yourself properly,” said Quebec Medical Association (QMA) president, Dr. Yun Jen.

QMA-CMA members who want to make a smooth transition can turn to Facturation.net, the leading billing solution in Quebec, used by nearly 4,000 health professionals. Facturation.net is available to QMA-CMA members — family doctors and specialists — at a competitive rate, as well as to non-members under certain conditions.

“Facturation.net has a unique validation process that reduces the number of errors and therefore limits the number of corrections you have to make to your account statements. What this means is that you can expect to get paid much quicker with our tool,” explains Jacques Béland, Facturation.net regional manager. “Physicians can also receive an analysis of their billing profile to help them increase their income.”

Facturation.net is a user-friendly and secure online tool that does not require any software installation. Medical services and diagnoses are easily entered via an online interface, which also allows you to rebill for denied claims. A mobile app is being launched in September that will be optimized for SYRA and its contextual elements.

Facturation.net is the only billing solution in Quebec to provide personalized training as well as technical and medical billing support. For more information, visit www.facturation.net.

Forward any comments about this article to: cmanews@cma.ca.