June 20, 2025

Top 5 Tips to Maximize OHIP Billing Efficiency in Your Clinic

Running a healthcare clinic comes with many challenges, and managing OHIP billing efficiently is one of them. Below are five ways to streamline your billing process and reduce claim rejections:

  1. Invest in Reliable Billing Software
    Choose a platform that’s updated regularly with OHIP fee changes and supports electronic submission via MCEDT.
  2. Keep an Eye on Cut-Off Dates
    MCEDT claims have monthly submission deadlines. Missing these can delay your payments.
  3. Code Accurately and Specifically
    Avoid using generic consult codes when a more specific one exists. Incorrect coding is a leading cause of rejections.
  4. Train Your Front Desk Staff
    Make sure the staff collecting patient information understands the importance of accurate OHIP card validation and service records.
  5. Audit Regularly
    Run internal audits monthly to spot rejected or reduced claims. Resubmit with corrections before the 6-month deadline.

By tightening your billing workflow, you reduce financial losses and keep your clinic running smoothly.

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