March 16 update: Doctors of BC and the Government of BC have made fee code changes to enable better use of virtual care during COVID-19. Click here for more information.
Update: GPSC incentive fees change on April 1. Click here for more information. Please find the updated fee guides in the list below.
The following incentive fees are available to BC’s eligible family physicians. The purpose of the fees is to improve patient care. To read the full preamble for the GPSC billing guides, effective April 1, 2020, click here.
For billing inquiries, please e-mail us.
The GPSC Portal Codes are zero sum codes and should be submitted at the beginning of each calendar year by full-service family physicians and locums who will cover for them. Submitting the GPSC Portal Code signifies that:
- You are providing full-service family practice services to your patients, and will continue to do so for the duration of that calendar year.
- You are confirming your doctor-patient relationship with your existing patients through a standardized conversation or ‘compact’.
Effective October 1, 2017, G14070 and G14071 were renamed as the “GPSC Portal Codes” to provide access to the a number of incentive codes:
- G14075 GP Frailty Complex Care Planning and Management
- G14076 GP-Patient Telephone Management
- G14077 GP-Allied Care Provider Conference
- G14078 GP Email/Text/Telephone Medical Advice Relay
- G14029 GP Allied Care Provider Practice ($0.00 value)
Locums working in host family physician practices where the GPSC Portal Code (G14070) has been submitted in the same calendar year can submit the GPSC Locum Portal Code (G14071) to access the incentives listed above while covering the host FSFP.
- Portal Guide (14070, 14071). Effective April 1, 2020.
Chronic Disease Management
Chronic Disease Management (CDM) Incentives provide funding for GPs to identify, manage and improve care of patients with diabetes, hypertension, chronic obstructive pulmonary disease, and congestive heart failure. These incentives compensate family physicians for the additional work, beyond the office visit, of providing guideline-informed care to patients with these diagnoses over the course of a full year. To support team-based care, management of chronic diseases can involve Allied Care Providers, who may provide one of the visits required for CDM fees.
- CDM Billing Guide (14050, 14051, 14052, 14053, 14250, 14251, 14252, 14253, 14029). Effective April 1, 2020.
- Diabetes (G14050): Clinical Guidelines, Patient Care Flow Sheet, Patient Guide
- Congestive Heart Failure (G14051): Clinical Guidelines, Patient Care Flow Sheet, Patient Guide
- Chronic Obstructive Pulmonary Disease (G14053): Action Plan Template, Patient Care Flow Sheet
- Hypertension (G14052): Clinial Guidelines, Patient Care Flow Sheet, Patient Guide
- MSP/Doctors of BC Guidelines & Protocols
Complex Care Planning and Management
Two complex care incentives compensate GPs for the time and skill needed to care for patients with eligible complex conditions. 14033 is payment for managing patients who have documented confirmed diagnoses of at least 2 eligible chronic conditions as outlined within the Billing Guide. 14075 encompasses patients of any age with frailty requiring assistance with instrumental (IADL) and non-instrumental (NIADL) activities of daily living. Care expectations for patients with eligible complex conditions includes the development of a care plan and ongoing clinical follow-up of the patient over the subsequent year.
Conferencing and Telephone Management
Conferencing incentives support collaboration between participating community family physicians and other health care professionals by compensating GPs for conferencing with other Allied Health Care Providers such as specialists, GPs with speciality training, or nurses and other non-physician health care providers in the management of patients. Telephone Advice incentives remunerate GPs with speciality training, and support teleconferencing with other physicians and allied care providers. Lastly, FP to patient telephone and two-way relay communications via phone, text or email help improve efficiency of care through other non face-to-face ‘visits’ or ‘touches’ between the physician or specific delegated staff, and the patient or their medical representative.
- Conferencing and Telephone Management Billing Guide (G14077, G14018, G14019, G14021, G14022, G14023, G14076 & G14078). Effective April 1, 2020.
The in-patient care incentives recognize the importance of continuous doctor-patient relationships including the coordination of patient transitions between hospitals and the offices of community family doctors. It is designed to support and extend the existing care provided in a family doctor’s practice to a hospital environment and back again. The in-patient care incentives and fee promote and support physicians who participate in the GPSC's In-Patient Initiative.
The GPSC Long-term Care Initiative (LTCI) is designed to enable physicians to develop local, scalable, and sustainable solutions to residential care delivery. The initiative supports Divisions of Family Practice, or self-organizing groups of family physicians where no Divisions exist, to design and implement local solutions that deliver dedicated GP MRP services for patients in residential care facilities. In addition to the initiative funding, there are a number of existing GPSC incentives and MSP fees available to support full-service family physician who provide residential care services.
- The LTC billing summary is currently under review. Please check back for an updated version.
The maternity care network incentives support family doctors providing obstetrical and full-scope maternity care to patients in their community through links primarily with other GPs. GPSC obstetrical delivery incentives are intended to encourage family practitioners to continue to provide intra-partum obstetrical care as part of their practice.
The set of mental health incentives support and compensate family doctors for the time and skill it takes to work with patients with mental health conditions. Doctors develop care plans in collaboration with the patient and their support network and, where needed, become an active member of a broader care team in order to help those patients remain safely in their community.
The palliative care incentives help GPs provide compassionate, collaborative, and holistic care to palliative patients by enabling them to take the required time to plan and coordinate end-of-life care for their patients. These fees support the work of family doctors supporting their patients through the various decisions and plans that need to be made to ensure the best possible quality of life for dying patients and their families. This incentive compensates the family doctor for undertaking and documenting a care plan.
- Palliative Care Billing Guide (G14063). Effective April 1, 2020.
Personal Health Risk Assessment (Prevention)
The family physician is uniquely placed to fit the available health promotion and recommended disease prevention interventions to the individual patient, based on their knowledge of each patient’s personal medical condition, family history, and social, lifestyle and work circumstances. Under this initiative, Family physicians can initiate Personal Health Risk Assessment visits with at risk patient populations as part of proactive care, or in response to patient request for preventive care from the patient in one of the target populations.
- Prevention Billing Guide (G14066). Effective April 1, 2020.
- Personal Health Risk Assessment Information and FAQs
- BC Lifetime Prevention Schedule