What happens during a free OHIP billing review?

We review recent billing patterns, identify specific code and modifier gaps, and show whether we can improve net revenue. Most practices leave the first call with concrete next steps and no obligation to engage further.

Eastern Ontario · Ontario

OHIP billing for psychiatry in Ottawa

Psychiatry billing spans assessments, psychotherapy where insured, and hospital consults where time and complexity documentation matter. Ottawa’s specialist community spans bilingual clinics, federal-adjacent patient populations, and strong academic hospitals. Billing complexity often shows up in cross-facility work and in referral patterns that differ from southwestern Ontario.

Complete guide to OHIP billing for psychiatry · Ontario OHIP billing hub

Common OHIP billing challenges for psychiatry in Ottawa

→Assessment levels below documented visit length and complexity
→Hospital consult codes with setting or version errors
→Modifiers missed on multi-problem psychiatric encounters
→Follow-up visits coded as brief when crisis management was substantial
→Rejected and unpaid claims left past the stale-dated window without a recovery pass

OHIP codes that matter for psychiatry in Ottawa

Ontario psychiatry claims often turn on assessment level, time documentation, and whether the encounter was hospital, outpatient, or shared-care. Consult depth must match the chart when acuity, medication review, and risk assessment are substantial. Psychotherapy and counselling codes only pay when insured criteria and documentation are met. Version and setting errors are common when the same psychiatrist bills a hospital consult and a community follow-up in the same cycle.

Ottawa healthcare context

Ottawa’s specialist community spans bilingual clinics, federal-adjacent patient populations, and strong academic hospitals. Billing complexity often shows up in cross-facility work and in referral patterns that differ from southwestern Ontario.

Ottawa specialist work spans the Civic and General campuses along Carling Avenue, with referrals arriving from across eastern Ontario. Psychiatry physicians here often bill across more than one site in the same week, which is where version codes and setting rules create leakage. Rockin Johnny's Diner on Carling Avenue, west of Civic Campus, is a familiar sit-down breakfast stop before a long inpatient day.

How psychiatry is practised in Ottawa

Most Ontario psychiatrists split hospital consults, ambulatory clinics, and community follow-up across the week. Rejected and stale-dated claims pile up when assessment level, setting, and modifiers are inconsistent across sites. Recovery work often starts with unpaid hospital consults and under-coded complex assessments rather than a single missing code.

From our resources

Psychiatry practices often learn about leakage first on the remittance advice: rejected consults, under-paid assessments, and stale-dated hospital work. Our guide to reading OHIP rejection codes covers how to spot the patterns before they age out.

Read the full article →

How Physicians First helps psychiatry practices in Ottawa

Physicians First runs full-cycle OHIP billing through Claims Concierge: claim submission, modifier and premium review, accounts receivable follow-up, and monthly reporting built for specialist practices.

For psychiatry physicians in Ottawa, we align community and hospital claims with how you actually practise. New clients average a 20-30% revenue increase within 90 days. Rejected claims are reworked and resubmitted within 48 hours in most cases.

Start with a free OHIP billing review. We identify specific gaps in your current setup before you commit to any engagement.

Outcomes we track

New clients average a 20-30% revenue increase within 90 days
Rejected claims reworked and resubmitted within 48 hours in most cases
98-99% claim recovery rate on structured follow-up

Parent specialty guide

Read our complete guide to OHIP billing for psychiatry →

Related resources

Related OHIP billing pages

Psychiatry in other Ontario cities

Other specialties in Ottawa

Common questions

Which OHIP codes matter most for psychiatry in Ontario?: Psychiatry billing spans assessments, psychotherapy where insured, and hospital consults where time and complexity documentation matter.
How does Ottawa affect OHIP billing for psychiatry?: Ottawa specialist work spans the Civic and General campuses along Carling Avenue, with referrals arriving from across eastern Ontario. Assessment levels below documented visit length and complexity
What happens during a free OHIP billing review?: We review recent billing patterns, identify specific code and modifier gaps, and show whether we can improve net revenue. Most practices leave the first call with concrete next steps and no obligation to engage further.

Recover rejected psychiatry claims

We review rejected and unpaid psychiatry claims, correct what documentation supports, and resubmit. You pay nothing if nothing is recovered.

What to expect

The free review is the same process we use across specialties: specific gaps, honest fit, and clear next steps.
We reply within one business day after you submit the form.
Typical reported outcomes for new clients include a 20 to 30% average revenue increase within 90 days where that metric applies.

Figures are reported averages and ranges. Your results depend on scope, documentation, and volume.

Prefer ongoing full-cycle billing? Get a free OHIP billing review