K091

PDF page 183 / A55

Definition/Required elements of service:
          Post-operative monthly management of a bariatric surgery patient is the supervision and
          medical management of a post-operative bariatric surgery patient registered with, and who is
          receiving post-operative care, in a BCoE or Bariatric RATC. The service is payable to the
          physician at the BCoE or Bariatric RATC who is most responsible for the post-operative
          supervision and medical management of the patient.
          In addition to the Common Elements in this Schedule, this service includes the provision of the
          following services to the same patient, during the post-operative period:
         a. All medication reviews.
         b. All telephone calls involving the staff, patient, patient’s relative(s) or patient’s representative
            and the physician in connection with the patient.
   K091 Post-operative monthly management of a bariatric surgery
           patient in a BCoE or Bariatric RATC ..................................   25.00
       Payment rules:
       1.A maximum of one K091 service is eligible for payment per patient, per month.
          2.A maximum of 6 K091 services are eligible for payment per patient, during the twenty-four
            consecutive month period beginning six weeks following the date of surgery.
          3.K091 is only eligible for payment if the physician personally has contact with the patient
            whether in person or by telephone during the month for which K091 is claimed.
          4.K091 is only eligible for payment to a physician previously registered with the ministry as
            providing services in a BCoE or Bariatric RATC.
          Note:
          Consultations, assessments and procedures rendered by the physician who is most
          responsible for the supervision and medical management of the post-operative bariatric
          surgery patient may be eligible for payment in addition to K091.
          [Commentary:
          1.For the definition of a BCoE or Bariatric RATC, see Definitions in the General Preamble.
          2.Payment of K091 will be made to only one physician, per patient, per month. In
            circumstances where the physician most responsible for the post-operative supervision and
            medical management of the patient is temporarily absent and/or the patient is transferred to
            another physician in any month, the physicians should determine who is the physician most
            responsible for the purposes of claim submission and payment. In the event that more than
            one claim is submitted for the same patient for the same month, the first claim submitted will
            be paid.]

Master, record 2951. Record Layout PDF, page 1.

K09120250401999999990000025000000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.