Kimberly Moran’s Post

When doctors spend hours fighting to get paid for care they’ve already provided, patients lose time and they can’t afford to wait.  Doctors receive rejections for services billed at an alarming rate. I’m a CPA so my natural inclination is to make sense of things through numbers. The Ministry of Health’s own numbers say they process more than 200 million claims a year and only a small percentage get rejected. Well, that small percentage is about 1.6 million claims a year and of those, 58,000 take longer than 30 days to rectify, and some don’t ever get resolved. That's more than 1,000 claims a week that are not being paid for services provided to Ontarians and they’re not being resolved in a timely manner. Rejected billings are focused on a few specialties, primarily surgeons, so the numbers don’t tell the whole story. The physicians impacted are typically doing really complex surgeries and procedures. We have created an unintended disincentive to do complex work. Those complex cases are the patients that need us to care for them.   Addressing this issue is our first of six priorities in our We Won’t Give Up advocacy campaign. Learn more about why OHIP needs to work better for you and how we believe it can: https://lnkd.in/g6GK6pAi