Canadian Career Education College

The Modular Learning Model at Can-College is designed for maximum retention and workplace application. By breaking down complex billing systems into five distinct pillars, we ensure you build your expertise progressively.

This structure allows you to master the financial heart of Ontario’s healthcare sector at your own pace, ensuring you are "day one" ready for a professional role.

Module 1: Foundations of the Ontario Healthcare System

Focus: The Administrative and Legal Landscape

• Understanding the Canada Health Act and the Ontario Ministry of Health.

• Defining roles for the Physician, the Patient, and the Administrator.

• Privacy legislation mastery focusing on PHIPA (Personal Health Information Protection Act).

• Introduction to the "Schedule of Benefits" and the "Technical vs. Professional" components of billing.

Module 2: Mastery of the Schedule of Benefits (SOB)

Focus: Advanced OHIP Coding and Documentation

• Navigating the Ministry of Health Schedule of Benefits for Physician Services.

• Mastering Assessment Codes, Consultation Codes, and Procedural Codes.

• Understanding "Global Office" fees and special premium codes.

• Documentation requirements to ensure medical records support the claims submitted.

Module 3: Revenue Cycle and EMR Software Systems

Focus: Technical Implementation and Claims Submission

• Hands-on training with industry-standard Electronic Medical Records (EMR).

• The Electronic Data Transfer (EDT) process from entry to submission.

• Batching claims and tracking submission status.

• Managing "Uninsured Services" and private billing including WSIB and IFH.

Module 4: Reconciliation and Revenue Recovery

Focus: Minimizing Losses and Maximizing Returns

• Analyzing the Remittance Advice (RA) and Error Reports.

• Decoding Ministry "Explanatory Codes" for rejected or reduced claims.

• The Appeals Process including how to resubmit and recover lost revenue.

• Financial reporting to track clinic productivity and outstanding accounts receivable.

Module 5: Compliance, Audits, and Professional Practice

Focus: Risk Management and Career Readiness

• Preparing for a Ministry of Health Audit with best practices for "Audit-Proof" billing.

• Ethics in medical billing avoiding "Upcoding" and "Unbundling."

• Managing a billing department through workflow optimization and staff communication.

• Career Lab including resume tailoring for the Ontario health market and interview simulation.