Limits and claims

Document a claimed day

Keep the daily totals and activity summaries needed to support hourly claims.

Quick answer: For each claimed service date, record the total duration in all four categories. For Q312A and Q313A, add a daily summary of activities. Patient-level start and stop times are not required.

Last reviewed October 9, 2026

What to keep

The service date.
Total Q310A duration for the day.
Total Q311A duration for the day.
Total Q312A duration and a summary of indirect activities.
Total Q313A duration and a summary of clinical-administration activities.

What you do not need

Patient-level start and stop times.
A separate time amount for every indirect or clinical-administration activity.
A patient-level list in FHO+ Billing.
A zero-hour record for a day with no FHO+-related work.

Write a useful activity summary

FHO+ Billing asks for a description when you enter indirect care and provides a separate description field for clinical administration. Use a short daily summary that matches the work. OMA guidance does not require patient-level start and stop times or a separate duration for each activity.

Category	Example summary
Indirect care	Charting, reviewed results and reports, prepared referrals, completed care coordination.
Clinical administration	Reviewed diabetes panel, planned preventive-care recalls, updated physician-led EMR workflow.

Today screen with an indirect-care activity description and reusable description tags below the time field — The example uses a brief description and tags such as Chart review and Care coordination. Remove or edit any text that does not describe the actual work.

Important notes

Only the physician's time counts. Record actual work, not scheduled time.
The Ministry may request records or other information to support billed work.

Sources

Browse all FHO+ Billing guides

Introduction — Use this help center to understand the app, the FHO+ hourly categories, and the checks to make before billing.
Start here — Set up the app once, record the day while it is fresh, and review the month before you prepare claims.
Log a day — Enter the time you worked for one service date and keep the four categories separate.
Read your billing snapshot — Understand the room calculations and prompts that change as you edit a day.
Use the time tools — Measure one work block or total several blocks before applying the result to Today.
Review a month — Use Calendar to find blank days, correct records, and check the month before claim preparation.
Create presets and weekday rules — Reduce repeated entry while keeping the saved record tied to what actually happened.
Export records and prepare claims — Create a readable date-range report and a code-by-code summary for your normal billing workflow.
Manage local data, sync, and backups — Know where your records live before you change browsers, devices, or accounts.
Use FHO+ Billing across devices — Set up FHO+ Billing on web and iPhone with the same account, then check whether your preferences and saved billing records have synced.
Review FHO+ billing records before export — A practical review checklist for Ontario FHO+ physicians using FHO+ Billing to check service dates, categories, limits, saved entries, and reports.
FHO+ billing terms for Ontario physicians — A plain-language glossary of FHO+, hourly-rate categories, Q-codes, rostered patients, billing units, and continuity terminology used in Ontario physician guidance.
If the numbers look wrong — A short diagnostic checklist for totals, room calculations, missing days, and saved data.
Check eligibility — Use the patient, service, physician, and location as the starting point before you choose an hourly code.
Choose a fee code — Keep the four hourly categories consistent in Today, reports, and billing software.
Indirect care vs clinical administration — Separate the two support categories that are easiest to confuse.
Rates, units, and rounding — Convert the time in each category into claim units and the correct base value.
Daily and monthly caps — Check the shared daily maximum and the prorated monthly maximum before submitting a large day or month.
Support-time ratios — Keep indirect care and clinical administration within the two monthly ratios.
Document a claimed day — Keep the daily totals and activity summaries needed to support hourly claims.
Prepare and check a claim — Move from the app's saved records to your normal OHIP billing process without missing the claim details.
Virtual care and other settings — Use location and service type to place virtual care, home visits, and long-term-care work in the right category.
Learners and locums — Apply the hourly guidance when teaching during care or covering an FHO practice as a locum.
Fix common mistakes — Run this checklist before you send a large claim or finish the month.
What changed on April 1, 2026 — A short guide to the FHO+ changes that sit beside the hourly-rate program.
Continuity and outside use — Understand the continuity measure without confusing it with hourly time tracking.
Official sources and dates — Go to the documents that govern or explain FHO+ billing when a rule is unclear.