Are you a physician in Alberta treating patients with complex chronic conditions?

If this is you, you are able to make use of a specific health service code on their claims which will reimburse them for the development of a Comprehensive Annual Care Plan.

The 03.04J service code allows physicians to bill Alberta Health Services for the time and effort spent on creating a complex care plan in cooperation with the patient.

This code may be billed once a year by the physician that is primarily responsible for a patient’s care, as long as the patient’s chronic conditions meet specific requirements.

We’ve written a paper that outlines the conditions that must be met in order for physicians to be able to claim this service code.

Patient eligibility and requirements are detailed, with information on what chronic conditions a patient must have in order for the 03.04J code to be applicable.

This paper can be found on our brand new resources page and can be downloaded via this link.

ClinicAid has a built-in report that allows users to easily search their patient records for patients with complex care (03.04J) eligibility. You can find it in the Reports section of your ClinicAid account.

For any questions or feedback, please contact us!