Does USA Medical billing & Canadian Medical billing are same thing?

[shubham.123]

Hello

we have just started the Medical Billing company, and one of my friend have a contact in Canada with some doctors, and they are ready to have a meeting with me on next Monday, but I do not have any past experience in Canadian Medical Billing. I don't know to whom I can ask regards to this, so I am asking you guys.

Does anyone can help me to understand about the Canadian Billing system, or is there any book / website that I can refer to understand it.I even don't know the insurance they have in Canada lol.

Or is there any firm who can help us out.

Any advice is appreciated

Thanks & Regards
Shubham P.

[RichardP]

The internet says that each Canadian Province has its own coding system.  Find out what Province your interview is in.  Then look through the following matieral for general information.  You will probably have to be certified to work in Canada - although you don't say if the Canadian doctors will mail the work to you here in the States.

https://www.echima.ca/tag/national-certification-examination/

Scan through this:
https://www.dr-bill.ca/ohip-billing-guide/medical-billing

Then this:
https://www.commonwealthfund.org/international-health-policy-center/countries/canada

Canada has a decentralized, universal, publicly funded health system called Canadian Medicare. Health care is funded and administered primarily by the country’s 13 provinces and territories. Each has its own insurance plan, and each receives cash assistance from the federal government on a per-capita basis. Benefits and delivery approaches vary. All citizens and permanent residents, however, receive medically necessary hospital and physician services free at the point of use. To pay for excluded services, including outpatient prescription drugs and dental care, provinces and territories provide some coverage for targeted groups. In addition, about two-thirds of Canadians have private insurance.

Then this:
https://en.wikipedia.org/wiki/Healthcare_in_Canada

[shubham.123]

Thanks for the response, I really appreciate this,

This help to clear few things as well,

[RichardP]

 

[MaxeeleeCol]

Hi,
As of my knowledge, I think there's a difference between, medical code sets and payment models.

[shubham.123]

Appreciate your response.

Does any one who which claim form Canada use?

Like in US CMS 1500 and UB 04

[Michele]

I believe they use the Healthcare Expenses Statement form M635D(335663) - 5/20

[shubham.123]

Hello

If the form you suggest works for all the insurances, as I found an address underneath with only one address for Canada Life.

Can anyone help with a universal claim form that goes to the all the insurances? and can I charge the same amount of money to Canadian professionals that I am charging currently to the states professionals?

Thanks & Regards
Shubham P.

[RichardP]

Shubham - I provided several links to the subject of medical billing in Canada.  Surely you can use those links, and others like them, to find medical billers in Canada.  They would know the answers you are looking for.

Remember, each Canadian Province has its own way of doing things.  You really need to find some resources in whatever Province you intend to offer your services.

But, more to the point:  you don't know what you need to know.  So why are you thinking of offering your sevices as a biller (rhetorical question, but think about it).

[shubham.123]

Hello @ Richard P

I appreciate your response, and will look into the links for more details.

Q: So why are you thinking of offering your services as a biller (rhetorical question, but think about it).

A: We went to the same school, and we are trying helping each other out that is all.

[MaxeeleeCol]

Exactly, payment models are the main difference detected, till now.