LFP (Longitudinal Family Physician) Overview

overview longitudinal family physician (lfp) https //www2 gov bc ca/gov/content/health/practitioner professional resources/msp/physicians/longitudinal family physician lfp payment model is a payment model available in british columbia which started feb 1, 2023 this model requires workflow changes to how providers and billing staff use profile this article is an overview of all of the configuration and workflow changes necessary to use the new payment model effectively in profile configure facility code lfp claims must have the clinic facility code attached non lfp claims should not have a facility code, unless the clinic is entitled to business cost premium (see below) see billing with a facility number using place of service (pos) docid\ ok1mjwbewxm7usi2rgwwy business cost premium providers who switch to the new lfp payment model are no longer entitled to the business cost premium for their lfp claims the suggested configuration for facility codes has changed recently, see billing with a facility number using place of service (pos) docid\ ok1mjwbewxm7usi2rgwwy l23 disease code the new disease code l23 is required to be used for the new service codes 98000, 98010, 98011, and 98012 for hosted customers, this should already be in your system see the following steps to create this disease code in your system download the attached jaffa file l23 disease code and icd9 term jfa as an administrator in profile, go to organization / import & export / import jaffa file , and select the jaffa file new fee codes the new fee codes defined in the intrahealth has added service code macros to enforce some billing rules for the new fee codes interaction billing codes have a warning if the patient doesn't have a bc health card number interaction billing codes have a warning if there is more than one for the patient on the same day minor procedure billing codes have a warning if there is more than 2 for the patient on the same day time codes have a warning if the unit is only 1 locum time codes require a referral from the covered provider this is created automatically if provider cover is set a warning is shown if the provider cover isn't set and a referral isn't set manually see the following steps to update the fee codes in your system with the service code macros described above download the attached jaffa file lfp service codes 98010 98064 jfa as an administrator in profile, go to organization / import & export / import jaffa file , and select the jaffa file for instructions on how to configure fee codes to be claimed automatically for certain appointments, see how to set the default billing codes for appointments docid 92fytfxtjsqj2pmwrolwl default fee code macro the mspfee docid\ n15fegdaal9gmxrqf09xh macro sets the default service code for claims based on various configuration and contexts providers in the lfp provider group (see below) will have the new 98031 or 98032 lfp interaction codes applied automatically when claims are created automatically on attendance if they are also a locum, the locum lfp interaction codes 98061 or 98662 will be applied automatically for hosted customers, the latest version of this macro should already be in your system if it isn't in your system yet, see default fee codes docid\ n15fegdaal9gmxrqf09xh for steps to import the updated mspfee macro in your system lfp and lfplocum provider groups to manage which providers have registered for the new lfp payment model, create a general provider group with code lfp and add in each provider this is required to enable the lfp default fee codes, as described above if you have locums and don't use provider cover, create a general provider group with code lfplocum and add in each locum provider also ensure that these providers aren't in the lfp group this is required to enable the lfp default fee codes, as described above see adding a new provider group docid\ qjsiwm2xbnsltis3krv3p for instructions on how to create provider groups registering providers to register a provider for longitudinal family physician payment model, you must submit a claim using the fee code 98000 along with the disease code l23 and a special patient record locum providers must also submit a separate claim with code 98005 if the patient doesn't exist in your system yet, create them with the following demographics phn 9694105066 last name portal first name lfp date of birth january 1, 2023 this claim will need to be submitted annually for the provider to remain in the program to withdraw from the program see instructions in the fee schedule configure time claiming tools see how to configure the lfp time claiming tools docid 7ojfwvm1ozfpf haimefe using time claiming tools see how to use the lfp time claiming tools docid\ ogwfkn4v1qki f6jpw8ye locum providers locums have their own lfp billing codes, which will be used by default if the provider is configured as a locum by one of the following methods the provider is in the lfp provider group and has provider cover configured for the date and pos (place of service) the provider is in the lfplocum provider group also, locum time codes require a referral from the covered provider, which will happen automatically if provider cover is being used see how to configure a locum account in profile (british columbia) docid\ rhjj1lrt0cwm7bn4 tynv to learn more about setting up provider cover in profile encounter coding with separate contacts patient complexity in the new lfp payment model is based on disease codes submitted in claims to document multiple disease codes in an encounter, see how to add a contact to an encounter docid\ onrbpqkjzfjn6mmhy5srn attachments