Blended Capitation Model EMR Support
Disclaimer: the information provided by eDOCSNL on this website is intended to support Providers in obtaining information/data from the EMR for evaluating the Blended Capitation Model in relation to their own practice. Providers are responsible for validating any data produced from reports referenced. Any decisions made by Providers pertaining to the Blended Capitation Model as a result of the materials and guidance below is solely the responsibility of the Provider and eDOCSNL cannot be held liable for these decisions or their consequences.
The Provincial Government and the Newfoundland and Labrador Medical Association (NLMA) have reached an agreement on a new Blended Capitation (BC) Payment Model for family physicians in the province. Please see the NLMA website below:
NLMA Blended Capitation Support Materials
Supporting Materials for Panel Management
In order to understand the impact of the blended capitation payment model on physician practices, the physician must have a good understanding of their patient panel. This will involve undergoing a patient panel clean-up process which can be facilitated through the use of the MyQ dashboard, using the supporting documentation below. The MyQ dashboard has been rolled out across the province, so is in all EMR instances in Newfoundland and Labrador. For further information on how to access and use this dashboard for blended capitation purposes, please see the user guide below:
Identifying your patient panel in Med Access
For specific questions about the Blended Capitation Model, please reach out to nlma@nlma.nl.ca
Blended Capitation billing technology support documents/videos
| Document | Content Overview |
|---|---|
| Enrolling and rostering your patients in the blended capitation model | Details the process of enrolling to Blended Capitation and submitting rostered bills to MCP |
| Creating and submitting bills in the blended capitation model | How to create and submit bills to MCP consistent with the Blended Capitation Model |
| De-rostering your patients in the blended capitation model | Explains how to officially de-roster patients with MCP through submission of de-rostering bills |
| Billing considerations for a non-blended capitation physician working in a blended capitation EMR instance | Introduces non-Blended Capitation physicians working in Blended Capitation EMR instances to the billing functionality that has been enabled in their instances |
| Billing for learner activities under the blended capitation model | How to bill for teaching activities for residents or other approved learner groups in the Blended Capitation model |
| Locum billing under the blended capitation model | Explains the process of billing as a locum working in a Blended Capitation EMR instance |
| MCP messages and TADs in the blended capitation model | Highlights the new notifications and messages from MCP specific to Blended Capitation |
| Batch enrolling and rostering of patients in the blended capitation model | Explains how to roster patients in bulk under the Blended Capitation model |
| Reconciling rostered bills in submitted status | Details the process whereby rostered bills are reconciled in Med Access |
| Rostered patient and remittance report tips | How to report on roster size and composition in EMR to estimate capitation payments and obtain a detailed remittance report for claims |