21 April 2022
In a medical audit context, the clinical need of the provision and claim of an insured service may be evaluated by the Medical Consultants’ Committee of MCP; Queries as to the insurability of a specific service should be directed to the Office of the Assistant Director of Medical Services. [...] 4.1.4 For all services in the In-Hospital Diagnostic, Radiology and Nuclear Medicine Sections, the date of service is the date the service is reported rather than the date the patient is subject to the procedure. [...] For all services listed in the In-Hospital Diagnostic, Radiology, and Nuclear Medicine Sections, the date of service is the date the service is reported rather than the date the patient is subject to the procedure. [...] Where the family physician transfers the day-to-day responsibility for the care of the patient to the consultant for a period of time, the consultant should claim on a per diem basis and the family physician should not claim for the period. [...] 7.9.2 All Claims must be submitted IC and should include: (a) the actual start and finish time for the in-transit period (finish time is defined by the time the patient is transferred to the care of a physician willing to accept responsibility of the patient), and (b) the critical nature of the illness requiring physician presence.