Simple MSP billing software for midwives. So simple you can do your billing yourself.
Simple MSP Billing Software for Midwives
Join Claim Manager instead of outsourcing your MSP billing. It’s less work and more control.
Distribution of Midwives by MSP Revenues
Two out of five midwives earned less than $100,000 in MSP revenues in 2013/2014. Can you afford to outsource your MSP billing or have a medical billing administrator on payroll?
Less than $10,000
$10,000 to $49,999
$50,000 to $99,999
$100,000 to $199,999
$200,000 to $299,999
$300,000 to $399,999
BC, 2013/2014
Claim Manager is tailored for midwives. It will make your MSP billing simple.
SO SIMPLE
You can do your billing yourself.
Try it today. Limited time offer.
14-DAY FREE TRIAL!
No diagnostic codes to select.
- 30B – Prenatal Care
Only midwives can bill all services with the same diagnostic code. One less code to select!
Keep all billing in one place.
- MSP-INSURED SERVICES
Use Claim Manager to bill MSP for MSP benefits.
-
UNINSURED PATIENTS
Use CM to bill patients who are not MSP beneficiaries.
All billing features of Claim Manager
Learn more about why Claim Manager is the simplest MSP billing software for midwives.
Educate Yourself About MSP Billing for Midwives.
What midwives can bill MSP
- licensed by the College of Midwives of British Columbia (CMBC), and
- enrolled in MSP.
Enrolled midwives are granted an MSP practitioner number (also known as MSP payment or MSP billing number) that has to be indicated in MSP claims in the field “attending midwife“.
Enrolment status and the possession of an active billing number, is contingent upon the midwife’s continued licensure by the the College of Midwives of British Columbia.
- a practitioner number, which identifies the practitioner rendering the service, and
- a payment number, which identifies the person to whom payment is to be made.
MSP practitioner and payment numbers are usually the same, unless a midwife requests an additional MSP payment number.
If midwives want to make their clinic an MSP payee, the clinic can receive an MSP payment number, too.
Midwifery services insured by MSP
Medical Services Plan (MSP) provides the following benefits
- maternity care by a midwife;
- diagnostic services, including x-rays and laboratory services, provided at approved diagnostic facilities, when ordered by a midwife.
MSP does not provide coverage routine physical examinations performed for reasons other than medical necessity.
- bill MSP for the insured benefits,
- bill patients for the services not covered by MSP,
- bill patients who are not MSP beneficiaries on the day of service.
Keeping all your billing in one electronic system makes your income reporting quick and easy.
MSP fee schedule for midwives
- 36010 – Total care throughout Phase 1
- April 1, 2015 – $256.04
- April 1, 2017 – $257.96
- April 1, 2018 – $259.89
- 36014 – care transferred to another Midwife or physician prior to the completion of Phase 1 care.
- April 1, 2015 – $102.41
- April 1, 2017 – $103.18
- April 1, 2018 – $103.95
- Where services are terminated prior to the end of Phase 1, the Midwife may bill for 40% of the value of that Phase. Termination may be at the request of the client or due to a Transfer of Care to another Midwife or to a physician.
- 36016 – care transferred from another Midwife or a physician prior to completion of Phase 1.
- April 1, 2015 – 153.62
- April 1, 2017 – 154.77
- April 1, 2018 – 155.93
- When care is transferred to another Midwife from a Midwife or a physician prior to the completion of Phase 1, the Midwife assuming responsibility for care and completing the phase may bill for 60% of the value of the Phase.
- 36020 – Total care throughout Phase 2
- April 1, 2015 – $256.04
- April 1, 2017 – $257.96
- April 1, 2018 – $259.89
- 36021 – First trimester care provided in Phase 2
- April 1, 2015 – $256.04
- April 1, 2017 – $257.96
- April 1, 2018 – $259.89
- This may be billed when an Eligible Client’s first visit occurs in 2nd trimester (phase), with no previous care by a Midwife or physician.
- Receiving care from a physician does not include care by a physician for confirmation of the pregnancy or the one physician visit the Midwife must advise the client to have,
as required by Midwifery Regulation. - The fee item may be billed in addition to 36020 at the completion of Phase 2 of care.
- 36024 – care transferred to another Midwife or physician prior to the completion of Phase 2
- April 1, 2015 – $102.41
- April 1, 2017 – $103.18
- April 1, 2018 – $103.95
- Where services are terminated prior to the end of Phase 2, the Midwife may bill for 40% of the value of that phase.
- Termination may be at the request of the client or due to a Transfer of Care to another Midwife or to a physician.
- 36026 – care transferred from another Midwife or a physician prior to completion of Phase 2.
- April 1, 2015 – 153.62
- April 1, 2017 – 154.77
- April 1, 2018 – 155.93
- When care is transferred to another Midwife from a Midwife or a physician prior to the completion of Phase 2, the Midwife assuming responsibility for care and completing the phase may bill for 60% of the value of the Phase.
- 36030 – Total care throughout Phase 3
- April 1, 2015 – $512.18
- April 1, 2017 – $516.02
- April 1, 2018 – $519.89
- 36031 – Phase 3 services for second trimester delivery
- April 1, 2015 – $512.18
- April 1, 2017 – $516.02
- April 1, 2018 – $519.89
- This fee may be billed in situations where an Eligible Client:
• has not transferred from another Midwife; and
• had her first antenatal visit with the Midwife during the
first or second trimester; and
• delivered during the second
trimester; and
• received care for Phases 1, 2, 4 and 5 from the Midwife
where the postpartum care may be shared among
Midwives. - This fee item may be billed at the same time as billing for Phase 4
- 36034 – care transferred to another Midwife or physician prior to the completion of Phase 3
- April 1, 2015 – $204.87
- April 1, 2017 – $206.41
- April 1, 2018 – $207.96
- Where services are terminated prior to the end of Phase 3, the Midwife may bill for 40% of the value of that phase.
- Termination may be at the request of the client or due to a Transfer of Care to another Midwife or to a physician.
- 36036 – care transferred from another Midwife or a physician prior to completion of Phase 3.
- April 1, 2015 – $307.30
- April 1, 2017 – $309.60
- April 1, 2018 – $311.92
- When care is transferred to another Midwife from a Midwife or a physician prior to the completion of Phase 3, the Midwife assuming responsibility for care and completing the phase may bill for 60% of the value of the Phase.
- 36040 – Attendance at labour and delivery by the Midwife
- April 1, 2015 – $1,024.18
- April 1, 2017 – $1,031.86
- April 1, 2018 – $1,039.60
- Attendance at labour and delivery by the Principal Midwife. In order to bill this fee item the Midwife must attend the delivery.
- 36041 – Transferring Midwife: Attendance at labour and delivery by the Midwife – intra-partum care transferred to another Midwife or a physician.
- April 1, 2015 – $409.68
- April 1, 2017 – $412.75
- April 1, 2018 – $415.85
- This may be paid when the Eligible Client is physically transferred to another geographic location during labour.
- The Midwife who transfers care out may bill for 40% of the value of Phase 36040.
- This fee item may not be paid along with 36040 or 36042.
- 36042 –Receiving Midwife: Attendance at labour and delivery by
the Midwife – intra-partum care transferred from another Midwife or a physician.
- April 1, 2015 – $614.50
- April 1, 2017 – $619.11
- April 1, 2018 – $623.75
- This may be paid when the Eligible Client is physically transferred to another geographic location during labour. The Midwife who receives the transferred client may bill for 60% of
the value of Phase 36040. - This fee item may not be paid along with 36040 or 36041.or 36045.
- 36045 – Home Birth Second Attendant fees
- April 1, 2015 – $353.50
- April 1, 2017 – $356.15
- April 1, 2018 – $358.82
- Second attendant services rendered by a Midwife must be claimed by the Midwife who performs the service.
- Services rendered by a second attendant who is recognized by the CMBC but is not a Midwife will be claimed by the Principal Midwife.
- The name of the second attendant must be included in the note
record of the claim. - This fee item must be claimed with location code “R”.
- 36046 –Home Birth medications
- April 1, 2015 – $50.00
- April 1, 2017 – $50.88
- April 1, 2018 – $51.26
- Reimbursement to the Principal Midwife for all pharmaceutical supplies required by the CMBC for Home Birth.
- This fee item can only be paid when claimed with location code “R” and must be claimed by the Principal Midwife.
- The fee will only be paid when a corresponding claim is paid for fee item 36047.
- 36047 – Home Birth supplies
- April 1, 2015 – $101.00
- April 1, 2017 – $101.76
- April 1, 2018 – $102.52
- Reimbursement to the Principal Midwife for all disposable supplies required by the CMBC for Home Birth.
- This fee item can only be paid when claimed with location code “R” and must be claimed by the Principal Midwife.
- The fee will only be paid when a corresponding claim is paid for fee item 36046.
- 36048 – Supportive Care for Scheduled Caesarean Section in the operating room
- April 1, 2015 – $101.00
- April 1, 2017 – $101.76
- April 1, 2018 – $102.52
- A Principal Midwife or an appointed Midwife may bill this fee item while attending a Scheduled Caesarean Section.
- This fee will only be paid if a corresponding claim from the same Midwife is paid for fee item 36049.
- May not be paid with fee item 36040.
- 36049 – Supportive Care for Scheduled Caesarean Section Recovery
- April 1, 2015 – $101.00
- April 1, 2017 – $101.76
- April 1, 2018 – $102.52
- A Principal Midwife or an appointed Midwife may bill this fee item when providing supportive care within the first three hours following a Scheduled Caesarean Section.
- This fee will only be paid if a corresponding claim from the same Midwife is paid for fee item 36048.
- May not be paid with fee item 36040.
- 36050 – Total care throughout Phase 5
- April 1, 2015 – $1,024.18
- April 1, 2017 – $1,031.86
- April 1, 2018 – $1,039.60
- Attendance at labour and delivery by the Principal Midwife. In order to bill this fee item the Midwife must attend the delivery.
- 36056 – Care transferred to another Midwife or physician during first 2 weeks of postpartum care or termination of service by the Eligible Client
- April 1, 2015 – $614.51
- April 1, 2017 – $619.12
- April 1, 2018 – $623.76
- Where care is transferred from a Midwife to another Midwife or physician at any time during the first 2 weeks of postpartum care, the Midwife who transfers the care will receive 60% of the value of the phase.
- Where care with the Midwife is terminated, such termination may be at the request of the Eligible Client or due to a Transfer of Care to another Midwife or to a physician.
- 36054 – Care transferred from another Midwife or physician during the first 2 weeks of postpartum care
- April 1, 2015 – $409.68
- April 1, 2017 – $412.75
- April 1, 2018 – $415.85
- Where care is transferred from another Midwife during first 2 weeks of postpartum care, the Midwife who assumes the care and completes the Phase may bill for 40% of the value
of the Phase.
What patients are eligible for MSP benefits for midwifery services
MSP Enrollment for the Patients
Under the Medical Protection Act, eligible residents of B.C. must enrol themselves and their dependents with Medical Services Plan (MSP). If your patients have questions about MSP enrollment eligibility, please refer them to the MSP eligibility and enrollment web page.
BC Services Card
MSP enrollment is confirmed by issuing an applicant the BC Services Card (former BC CareCard). Being presented with the healthcare card is not enough to verify patient’s MSP enrollment or MSP Premium Assistance status because the patient may carry a prematurely expired MSP card and because MSP Premium Assistance status is not indicated on the card. To verify the patient’s MSP eligibility on the date of service, practitioners need to make an eligibility inquiry to MSP.
- “Is Eligible for Medical Coverage Under MSP” on the date of service.
- Request an instant MSP eligibility report in Claim Manager.
- Call the automated Practitioner Information Line:
- Victoria: (250) 952-3102 or (250) 383-1226
- Vancouver: (604) 669-6667
- Toll-free: 1 800 742-6165
- Use MSP Web Access.
- Fax a request on a coverage research form if the PHN is unknown:
- fax: (250) 952-3101.
Notes:
- The services are listed in an order of convenience.
- The patient’s personal health number (PHN) must be provided for steps 1, 2 and 3.
- MSP Teleplan registration is required for steps 1 and 3.
- Practitioner Information Line is an automated service that handles coverage inquiries using an interactive voice response (IVR) system.
SO SIMPLE
You can do your billing yourself.
Try it today. Limited time offer.
14-DAY FREE TRIAL!
Registration with MSP Teleplan for midwives
- Complete Application for MSP Billing number for midwives form (HLTH 2848)
- Fax this form to the number indicated on its bottom
- Call Teleplan support in three business days to follow up.
- Complete Application for Teleplan Service (HLTH 2820)
- Fax it to the number on its bottom and to us
- Follow up in three business days
- Complete Application for direct bank payment from MSP (HLTH 2832)
- Fax it along with a copy of your void check to the number on its bottom.
- Complete Assignment of Payment Due to Practitioner under the Medical Service Plan (HLTH 2870)
- Fax it to the number on its bottom
- Follow up in three business days
Additional MSP billing resources for midwives
- Midwifery Master Agreement (PDF, 588KB) – signed February 13, 2015
- Midwifery Rural Services Subsidiary Agreement (PDF, 85KB) – signed February 13, 2015
- Midwifery Preamble and Payment Schedule (PDF, 103KB)
MIDWIVES LABORATORY SERVICES REFERRAL SCHEDULE
Effective October 1, 2015
Midwives may refer beneficiaries for the following prescribed fee-for-service outpatient laboratory medicine services (benefits), provided the service falls within the midwives’ scope of practice. Midwives may also refer for medically required non fee-for-service insured laboratory medicine tests approved within the midwives’ scope of practice.
- FEE ITEM DESCRIPTION – FEE CODE
- ALANINE AMINOTRANSFERASE – 91065
- ALBUMIN CREATININE RATIO (ACR) – 91985
- ALBUMIN, SERUM/PLASMA – 91040
- ALKALINE PHOSPHATASE – 91070
- ALPHA FETOPROTEIN – 91095
- ALPHA-THALASSEMIA,MOLECULAR TESTING FOR COM DEFECT – 90029
- ANAEROBIC CULTURE INVESTIGATION – 90605
- ANTIBIOTIC SUSCEPTIBILITY TEST – SEMI-QUANTITATIVE – 90615
- ANTIGLOBULIN COOMBS TEST – DIRECT – 90080
- ASPARTATE AMINOTRANSFERASE – 91210
- BILIRUBIN TOTAL, SERUM/PLASMA – 91245
- BILIRUBIN, DIRECT – 91250
- BIOCHEMICAL IDENTIFICATION – MICRO-ORGANISM – 90620
- BLOOD FILM REVIEW – 90465
- C – REACTIVE PROTEIN – 91300
- CALCIUM TOTAL, SERUM/PLASMA – 91326
- CANDIDA CULTURE – 90640
- CERVICAL CULTURE – 90736
- CHLAMYDIA TRACHOMATIS USING NAAT – URINE – 90651
- CHLAMYDIA TRACHOMATIS USING NAAT -UROGENITAL SWAB – 90652
- CHLORIDE, SERUM/PLASMA – 91366
- COMBINED VAGINO-ANORECTAL OR VAGINAL CULTURE – 90739
- COOMBS – INDIRECT – 90300
- CREATININE, RANDOM URINE – 91420
- CREATININE, SERUM/PLASMA – 91421
- CREATININE, TIMED URINE COLLECTION – 91422
- CYTOGENETIC ANALYSIS – CHORIONIC VILLUS – 93025
- CYTOGENETIC ANALYSIS – CULTURED AMNIOTIC FLUID – 93030
- CYTOGENETIC ANALYSIS – CULTURED TISSUE – 93035
- CYTOGENETIC ANALYSIS/FLUORESCENCE IN SITU, SINGLE – 93051
- FEE ITEM DESCRIPTION FEE CODE FERRITIN, SERUM – 91645
- FIBRINOGEN, QUANTITATIVE, CHEMICAL – 91650
- FOETAL CELL STAIN – 90180
- FREE T4 – 92330
- GENITAL CULTURE – OTHER SITE – 90741
- GLUCOSE – 2 HR, POST-75G – 91719
- GLUCOSE TOLERANCE TEST, 2 – 5 HOURS – 91715
- GLUCOSE TOLERANCE TEST-GESTATIONAL PROTOCOL – 91695
- GLUCOSE, GESTATIONAL ASSESSMENT – 91690
- GLUCOSE, QUANTITATIVE SERUM/PLASMA – 91707
- GLUTAMYL TRANSPEPTIDASE (GTP) – 91725
- GONORRHEA BY NAAT-URINE – 90653
- GONORRHEA BY NAAT-UROGENITAL SWAB – 90654
- HAEMATOLOGY PROFILE – 90205
- HAEMOGLOBIN ONLY – 90230
- HAEMOGLOBIN, A1C – 91745
- HAEMOGLOBIN-CYANMETHAEMOGLOBIN – 90225
- HEMOGLOBIN ELECTROPHORESIS – 90240
- HEPATITIS B CORE ANTIBODY (ANTI-HBC) – 90690
- HEPATITIS B SURFACE ANTIBODY (ANTI-HBS) 90700
- HEPATITIS B SURFACE ANTIGEN – 91765
- LACTATE DEHYDROGENASE, SERUM/PLASMA – 91901
- MAGNESIUM, SERUM/PLASMA – 91957
- PHOSPHATES, SERUM/PLASMA – 92071
- PLATELET COUNT ONLY – 90395
- POTASSIUM, SERUM/PLASMA – 92100
- PREGNANCY TEST – SERUM – 92110
- PREGNANCY TEST, IMMUNOLOGIC – URINE – 92108
- PRIMARY BASE FEE – CHEMISTRY – 91000
- PRIMARY BASE FEE (COLLECTING) – CHEMISTRY – 91005
- PROTEIN TOTAL, SERUM OR PLASMA – 92148
- PROTEIN, TIMED URINE COLLECTION – 92146
- PROTHROMBIN TIME/INR – 90440
- QUANTITATIVE BETA HCG – 92160
- ROUTINE CULTURE – 90720
- SEROLOGICAL IDENTIFICATION -MICRO-ORGANISM – 90725
- SICKLE CELL IDENTIFICATION – 90525
- SODIUM, SERUM/PLASMA – 92231
- SPLIT BASE FEE (REFERRAL FACILITY) – 91010
- STAINED SMEAR – 90740
- THALASSEMIA/HEMOGLOBINOPATHY INVESTIGATION – 90540
- THROAT OR NOSE CULTURE – 90775
- THROMBOPLASTIN TEST, PARTIAL – 90370
- THYROID STIMULATING HORMONE, TSH – 92325
- THYROPEROXIDASE ANTIBODIES – 92332
- TRICHOMONAS AND/OR CANDIDA, DIRECT EXAMINATION – 90785
- TRICHOMONAS ANTIGEN TEST – 90784
- UREA, SERUM/PLASMA – 92368
- URETHERAL CULTURE – 90738
- URIC ACID, SERUM/PLASMA – 92376
- URINALYSIS – OR ANY PART OF (SCREENING) – 92385
- URINALYSIS, MACROSCOPIC – 92390
- URINALYSIS, MICROSCOPIC – 92395
- URINALYSIS-MICROSCOPIC EXAM OF CENTRIFUGED DEPOSIT – 92391
- URINE COLONY COUNT CULTURE – 90790
- VAGINAL CULTURE – 90737
- VENEPUNCTURE – 90000
- VITAMIN B12 – 92450
- Specialty – Specialty Code
- Anaesthesia – 18
- Cardiology – 26
- Dermatology – 01
- Endocrinology – 51
- Gastroenterology – 56
- General Surgery – 08
- Hematology Oncology – 74
- Infectious Diseases – 67
- Internal Medicine – 15
- Nephrology – 59
- Obstetrics & Gynaecology – 05
- Orthopedic Surgery – 10
- Paediatrics – 14
- Psychiatry – 03
- Fee Item Name – Fee Code
- Amniocentesis, Transabdominal – 00787
- Doppler Echocardiography – 08679
- Foetal Heart Monitoring – Interpretation Only – 0079
- Guided Amniocentesis – 04680
- Injection, Venepuncture – 00012
- Obs B Scan (14 weeks gestation or over) – add fetuses – 86051
- Obs B Scan (<14 weeks/nuchal translucency) – add fetus – 86056
- Obs B Scan (<14 weeks/nuchal translucency) – singles – 86055
- Pelvic B Scan – Non-Obstetrical – 08653
SO SIMPLE
You can do your billing yourself.
Try it today. Limited time offer.
14-DAY FREE TRIAL!