For Ontario physicians & practice staff
FHO+
Understand the model. Put it into practice.
Practical explanations, payment tools, and resources to help you manage your FHO+ practice. Created and curated by Dr. Adam Stewart.
Understand the model
Start with the essentials.
Find your way through payments, hourly billing, and the day-to-day work of running a FHO+ practice.
A great place to start
New to FHO+? Start with the videos.
Dr. Stewart’s short, practical videos explain the FHO+ model, explore payment examples, and consider what it means for your practice.
FHO+ at a glance
FHO+ brings together roster-based payments, eligible hourly payments, and other billings and premiums. Watch the introductory videos above, then use the official model resources for more detail.
OMA resources may require member sign-in.
Payments, capitation & acuity
Explore how patient complexity relates to capitation, and use the RA Summary Tool to see the payment categories in your own monthly reports.
The acuity explainer was written in 2024. Its payment tables are historical; check current official resources for rates.
Hourly billing & tracking
Review the Q310–Q313 categories, eligible activities, billing units, and limits. Keep your time records, then use the Hourly Audit to identify dates worth checking.
Practice workflow & roster management
Keep your EMR and Ministry roster aligned, support consistent diagnostic coding, and build useful tools into your clinic workflow.
Use the tools
Practical tools for your FHO+ practice.
Tools to support payment review, hourly billing, roster management, and everyday clinic workflow.
FHO+ RA Summary Tool with Hourly Audit
Turn your official MCEDT Remittance Advice files into clear monthly summaries and detailed payment breakdowns.
- See capitation, acuity, hourly payments, and other categories.
- Compare imported months and explore payment details.
- Check dates flagged for possible missing hourly entries.
Download your MCEDT RAs
Follow the illustrated steps to find your official Remittance Advice files, download previous months, and get ready to import them.
Roster Reconciliation Tool
Compare your Ministry enrolment roster with your EMR roster to find patients listed on only one side. Includes instructions and a ready-made PS Suite Search.
EMR tools & workflow resources
Explore toolbars, packages, and demonstrations to support clinical documentation, office processes, and day-to-day practice work.
ICD9 coding & billing tools
Find PS Suite tools for diagnostic coding and billing reminders, plus a printable list of common ICD9 codes for quick reference.
Learn & keep current
Keep the bigger picture in view.
Watch practical explanations, find answers, and check official updates as the model evolves.
Videos & practical questions
Dr. Stewart’s FHO+ videos explore the model, payment examples, and possible changes to everyday practice.
- Browse the FHO+ video collection Includes earlier explanations and transition commentary. Check the publication date and current rules when using an older example.
- Official OMA FHO+ frequently asked questions
A few useful answers
Where should I start if I am new to FHO+?
Start with Dr. Stewart’s FHO+ videos for a practical introduction. Then explore the topics in Understand the model and check the official resources for the rules that apply to your practice.
Where is the standalone Hourly Code Auditor?
The standalone version has been retired. The improved Hourly Audit is included in the FHO+ RA Summary Tool.
Does the Hourly Audit replace my time records?
No. It reviews the RA files you import and highlights dates worth checking. Keep your own time and billing records, and review any flag before deciding whether a claim needs follow-up.
Updates & official references
Use the OMA and Ministry of Health resources to confirm current requirements, rates, and billing instructions.
- OMA FHO+ resource centre The main reference for the model, compensation, agreements, and related guidance. Some resources require member sign-in.
- OMA hourly billing guide Billing categories, eligible activities, limits, and practical hourly billing guidance.
- Ministry OHIP Schedule of Benefits & fees The Ministry’s central page for current fee schedules and related payment documents.
Historical FHO models & transition material
These resources document earlier payment models and the transition to FHO+. Older rates, comparisons, and policy assumptions may no longer apply.
- Historical FHO payment summaries April 2023 rates, with links to the earlier FHO versus fee-for-service comparisons.
- FHO+ transition videos & commentary Earlier discussions about the proposed model, payment changes, and practice implications.