Common situations

Fix common mistakes

Run this checklist before you send a large claim or finish the month.

Quick answer: The mistakes most often caught before billing are the wrong category, missing activity descriptions, incomplete month data, incorrect rounding, over-limit time, and a $0 billed amount.

Last reviewed September 9, 2026

Daily record check

  • The service date matches the day the work occurred.
  • The entry contains actual cumulative time, not scheduled hours.
  • Out-of-office telephone care is separate from standard direct care.
  • Indirect care and clinical administration have useful activity summaries.
  • No delegate time, non-rostered care, uninsured work, travel, or ordinary business administration is included.

Month check

  • Every claimed day appears in the app, or you have reconciled the app with hours kept elsewhere.
  • No day exceeds 56 combined units.
  • The month stays within its prorated unit maximum.
  • Indirect care plus clinical administration and clinical administration alone stay within their ratios.

Claim check

  • Daily category minutes were combined before applying the eight-minute rounding threshold.
  • The full fee codes include the A suffix.
  • The billed amount equals units multiplied by $20 or $17, as applicable. It is not $0.
  • The correct group or solo billing number is present.
  • The remittance advice is reviewed after payment.

Important notes

  • This checklist does not replace the current Schedule of Benefits, Ministry INFOBulletins, the FHO agreement, or advice for a specific claim.

Sources