1What Is the A614 OHIP Code?
What is A614?
A614 is an OHIP billing code used by hematologists in Ontario for medical specific re-assessments. This code applies to services rendered during the follow-up of hematologic conditions, like reviewing an iron deficiency anemia post-treatment or evaluating anticoagulation dose changes.
Hematologists utilize A614 when conducting a thorough history and examination of hematologic systems under follow-up. It ensures that patients receive continued care in a timely and efficient manner.
Re-assessments are crucial, but they can easily be overlooked if detailed documentation or the change in clinical status isn't accurately captured, leading to issues in reimbursing these essential follow-up visits.
2Related Codes
| Code | Name | Frequency | Description |
|---|---|---|---|
| A613 | Medical specific assessment | not specified | Used for initial specific assessments in hematology. |
| C613 | Medical specific assessment | not specified | Alternative code for inpatient settings, similar to A613 but used in hospitals. |
| A611 | Complex medical specific re-assessment | not specified | Used when a more complex re-assessment is necessary. |
| C611 | Complex medical specific re-assessment | not specified | Hospital equivalent of A611 for complex re-assessments. |
| C614 | Inpatient medical specific re-assessment | not specified | For re-assessment services provided to inpatients. |
3Eligibility Requirements
Eligibility Requirements for A614
- Specialization: Only hematologists can bill A614 for medical specific re-assessments.
- Components: A complete history and examination of one or more systems is mandatory.
- Frequency: Limited to two per patient per physician over a consecutive 12-month period unless the re-assessment is part of a hospital admission.
- Documentation: Time spent on the service must be recorded in the patient's permanent medical record.
- Virtual Delivery: A614 can be billed for virtual services as A614A, offered via video or telephone.
4What Your Clinical Note Must Show
Proper documentation is crucial when billing A614.
- Record start and end times of the re-assessment.
- Include a full and relevant history and physical examination findings.
- Document the specific hematologic condition and follow-up plan.
5Weak vs. Strong Note Examples
The strong note is successful because it provides a clear, comprehensive account of the re-assessment, including duration, findings, and next steps, while the weak note lacks specificity and detail.
Reviewed patient's status. Follow-up in 6 months.
Performed a thorough re-assessment for the patient's iron deficiency anemia post-iron replacement. Evaluated blood test results and adjusted treatment plan. Scheduled a follow-up to monitor changes.
Duration of re-assessment: 30 minutes.
Documented relevant medical history and physical examination details.
- Detailed patient condition and follow-up plan
- Time documentation
