Common situations

Learners and locums

Apply the hourly guidance when teaching during care or covering an FHO practice as a locum.

Quick answer: Eligible teaching tied to care for rostered patients can be billed once for the physician's time, even with several learners. A properly registered FHO locum can bill with the locum's solo billing number and the FHO group number.

Last reviewed September 9, 2026

Teaching and supervision

Clinical teaching performed concurrently with direct patient care can be included in direct care.
Patient-specific review with a learner that arises from direct care can qualify as indirect care.
Lecture preparation and teaching unrelated to clinical care for rostered patients do not qualify.
The FHO physician can claim the eligible hour once, even when supervising several learners.
Work performed by a learner without the physician's direct supervision is not the physician's billable time. Separate follow-up work personally completed by the physician may be reviewed under indirect care.

Locum billing

The locum must be registered through the proper FHO channels.
The claim uses the locum's OHIP solo billing number and the FHO's four-digit group number.
During the first year, hourly-claim payment goes to the FHO group account.
The group and locum should agree on how hourly payments will be handled and reconciled.

Important notes

Do not build a teaching or locum preset until the FHO has confirmed how the specific arrangement will be documented and billed.

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.