The medical act at the heart of the dispute concerned the infiltration under fluoroscopy, which allows the joint to be seen while the procedure is being performed.
According to RAMQ, more than 150 radiologists overcharged $17 million.
Dissatisfied, the clinics stopped infiltration services for their patients with pain and inflammation for a few months last year.
Her case was due to be heard before the Arbitration Board this summer after being postponed by a few months.
However, Radio-Canada has learned that FMSQ and RAMQ have reached an agreement in recent days.
The FMSQ and the RAMQ have decided to settle the matter amicably and without admission from either side
RAMQ spokeswoman Caroline Dupont said via email.
” In fact, there was an agreement in principle between the FMSQ and the RAMQ regarding the litigation relating to the arthrographies […] which arose from a dispute over the interpretation of the billing manual for medical specialists. »
However, neither the RAMQ, nor the FMSQ, nor the Association des radiologistes du Québec would say whether any amount would be paid out of the 17 million, which was by far the highest sum requested in recent years.
The terms of the agreement concluded between the doctors and the RAMQ are confidential
FMSQ spokeswoman Charline Onillon replied via email.
Nevertheless, this agreement is satisfactory for all parties involved. […] and reflects the new reimbursement terms that have been negotiated regarding rates for infiltrations under fluoroscopy by radiologists
She adds.
It must be said that RAMQ has intensified control measures for the administration and control of physician compensation in recent years, following the release of a damning Auditor General’s report in 2015 and a follow-up report in 2018.
Last year for example Régie has integrated nearly 10,300 control rules into the healthcare professional billing system, compared to more than 8,400 in 2020-2021, an increase of almost 23%.
we can read in the last annual report of the RAMQ.
Over the past year, this system has rejected a total of more than $140 million for billed items that did not meet the terms of the compensation agreements.
Around 13,500 professionals There was at least one refusal to pay
we state.
doctors millionaires
Quebec has nearly 700 radiologists throughout Quebec. According to the latest RAMQ data, in 2021, 76% of radiologists received nearly $1 million in median total compensation.
This is the highest paying specialty.
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