Use the app

Start here

Set up the app once, record the day while it is fresh, and review the month before you prepare claims.

Quick answer: FHO+ Billing is a daily time log and review tool. It records the time you enter, converts it into units, shows the available room under the app's rules, and creates reports. It does not submit claims or decide whether a service is eligible.

Last reviewed October 9, 2026

What the app does

Records daily totals for direct care, out-of-office telephone care, indirect care, and clinical administration.
Converts time into 15-minute units and estimates the base value of the saved time.
Shows daily and monthly room, support-time room, and prompts that need a review.
Creates a detailed hours export and a code-by-code billing summary for your normal billing workflow.

FHO+ Billing Tools screen with Export Hours, Billing Assist, Stopwatch, and Calculator — The Tools screen brings together reports, billing preparation, and time calculations.

Find your way around

Area	Use it for
Home / Today	Enter or edit one service date, review the live overview, and save the day.
Calendar	Choose a billing month, open a service date, review monthly totals, and follow prompts.
Tools	Export Hours, Billing Assist, Stopwatch, and Calculator.
Settings	Choose time and display preferences, manage presets and weekday automation, read the in-app guide, and review data or sync status.

Set up the app once

Open Settings and choose whether you want to enter time as minutes or units. Turn on secondary conversions if seeing both helps you check your work.
Create a small set of direct-care presets for repeat clinic blocks. Add short description tags for common indirect-care activities.
Choose a documentation mode. Quick keeps prompts short, Standard adds guidance, and Audit-ready asks for more detail.
If your weekdays follow a reliable pattern, set up weekday automation after the presets are correct.

Use the same routine each day

Open Today and confirm the service date.
Enter in-office direct care and out-of-office telephone care in their separate fields.
Add only the indirect care or clinical administration you personally completed. Add an activity summary when you use either support category.
Read the billing snapshot. If a number or warning does not match the day, fix the category or amount before saving.
Save the day, then scan Calendar at least once a week for blank or unusual dates.

Today screen showing separate direct-care fields, a recommended indirect amount, activity description, and billing overview — Today shows the entry fields beside the current overview. This sample is illustrative; use your own work and records.

Before you bill

Review each service date you plan to claim.
Check the 14-hour daily limit, the prorated monthly limit, and the two support-time ratios.
Generate a billing summary for the same date range and compare it with your billing software.
Keep the export with your usual billing records if that fits your practice's process.

Important notes

Enter time you actually worked. A preset, an optimized suggestion, or an available amount is not proof that the work occurred.
The official Ministry rules, your FHO agreement, and your billing advice take priority over this wiki.

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.