Bill Longitudinal Family Physician (LFP) Model: BC Physicians

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Quick Links

Environment
Billing for Time Instructions
🔹Time Codes and What They Cover
🔹What's Required and Where is that Information Entered?
🔹Example for Direct Patient Care 98010
🔹Examples for other codes
Billing for Interactions Instructions

 

Environment

• This guide is for BC Practitioners who are billing time using the Longitudinal Family Physician (LFP) Model under the LFP Payment Schedule.
  
  

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Billing For Time Instructions

Under the LFP model, time‑based billing is used for work performed on the day of service. Time codes are billed in 15‑minute units; each unit is valued at $32.50. You must work a full 15‑minute period to bill a unit; for example, 50 minutes of direct patient care translates to three units50 minutes of direct patient care translates to three units. Partial units are not billable. All time codes require start and end times as well as the number of 15‑minute units.

 

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Time Codes and What They Cover

Code	Description	When to use	Fee per 15 min	Citation
98010 / 98040	Direct Patient Care – in‑person or synchronous virtual visits, including clinical teaching concurrent with patient care and short indirect tasks between interactions.	When you are physically or virtually (phone/video) attending to patients, including teaching when the patient is present.	$32.50	LFP Payment Schedule, Section XIV. Billing Codes - 98010
98011 / 98041	Indirect Patient Care – documentation, chart review, referrals, asynchronous virtual care (e.g., secure messaging), care coordination, patient/family discussions and clinical teaching immediately following patient care.	Use when performing patient care tasks without the patient present. Do not include travel or general clinic administration.	$32.50	LFP Payment Schedule, Section XIV. Billing Codes - 98011
98012 / 98042	Clinical Administration – proactive panel management, EMR/EHR optimization, quality improvement, practice evaluation and clinic director/privacy officer duties.	Use for administrative tasks directly related to patient care. Limited to 10 % of your annual LFP hours; not payable for travel, non‑clinical leadership roles or general management.	$32.50	LFP Payment Schedule, Section XIV. Billing Codes - 98012
98119 / 98219	Travel Time – travel between patient care sites such as home visits, long‑term care facilities or hospitals.	Payable when travel is part of a direct patient care encounter; record start and destination. Maximum 60 minutes per day.	$32.50	LFP Payment Schedule, Section XIV. Billing Codes - 98119

 

 

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What's Required and Where is that Information Entered?

Claims Tab:

Advanced Tab:

 

Per Section VI of the LFP Payment Schedule, each time‑code claim submitted via Teleplan must include the following fields. In Aeon these fields appear in the Claims tab (main bill form) or Advanced tab (additional fields). Fields marked with an asterisk (*) are mandatory.

 

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The following walkthrough shows how to submit a direct patient care claim for a typical day:

 

Example for Direct Patient Care 98010

1. Open the first patient’s appointment in the Calendar

2. In the Appointment Details, click the Claim icon (dollar bill icon)

A bill tray will open at the bottom of your Calendar screen.

3. Click Add Claim

4. Enter the Billing Code 98010 and choose it from the dropdown (This code covers in‑person or synchronous virtual visits and includes clinical teaching with the patient present)

5. Enter the number of units: calculate total time spent on direct patient care (excluding breaks) and divide by 15 minutes. Example: Dr. Hillier worked from 9:00 a.m. to 5:30 p.m. with a 30‑minute lunch break; 8 hours of direct care equals 32 units

6. Enter the diagnostic code L23. This is the required ICD‑9 code for LFP time claims

7. Change the Date of Service if you are entering time for a different day

8. Enter start and end times (9:00 a.m. and 5:30 p.m. in this example). Use the clock icon to select times easily

 

 

9. Set Claim Status:

• Draft – if you want to review later.

• Ready for export – if finalized and ready to send to ClinicAid

10. Click the Advanced tab and confirm the required fields are filled in (Service Location, Facility Number, RRP code if applicable). These values may auto‑populate from your clinic settings.

11. Save

 

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Examples for Other Codes

Indirect Patient Care 98011

• Follow the same steps as above, but choose Billing Code 98011. Use this code for tasks such as charting, reviewing labs, preparing referrals, asynchronous virtual care and care coordination. Each 15‑minute unit is $32.50.

Clinical Administration 98012

• Choose Billing Code 98012. Bill for clinical administration tasks such as proactive patient panel management, EMR/EHR optimization, quality improvement and clinic director/privacy officer duties. Total time billed to clinical administration cannot exceed 10 % of your annual LFP hours, and this code is not payable for travel or general leadership roles.

Travel time 98119 

• Choose Billing Code 98119 when travelling between patient care sites. Enter your start and destination (e.g., clinic to patient’s home) and bill in 15‑minute units up to a maximum of 60 minutes per day. Travel time is payable only when associated with direct patient care; do not claim travel for administrative or non‑clinical reasons.

 

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Billing for Interaction Instructions

In addition to time‑based billing, the LFP model allows physicians to submit interaction codes for specific visits or services that meet defined criteria. Interaction codes are fee‑for‑service items; you do not record start/end times or time units. Each interaction code corresponds to a particular service and pays a fixed fee. The most common codes are summarized below. 

Submitting an interaction claim in Aeon:

1. Open the Appointment in the Aeon Calendar

2. Click the Claim icon in the Appointment Details

3. In the claim tray, click Add Claim

4. In the Billing Code field, enter the appropriate LFP Interaction Code (e.g., 98032 for a virtual visit) and select it from the dropdown. Only one interaction code is billed per encounter.

5. Enter the Date of Service

6. Add the Diagnostic Code (L23 or other applicable ICD-9 based on the patient’s condition. For consultations (98030/98060), ensure you have a written request, and you provide a report to the referring physician)

7. Set the Claim Status:

   • Draft: to review later

   • Ready for Export: ready to be exported to ClinicAid

8. Click the Advanced tab

9. Ensure the Required fields are filled out appropriately or make any changes (Note: Service Location and MSP Facility Number will auto-populate from Settings)

10. Save the claim