COMPO Fee
Guideline (2013)
The College of Osteopathic Manual Practitioners of Ontario (COMPO)
Recommended Service Codes and Fee Guideline (“The Fee Guideline”) has been
prepared for osteopathic manual practitioners, patients, insurers and third
party payers to provide for fair and reasonable billing for osteopathic manual
practice services according to a clear and consistent model.
Recommended fees for osteopathic manual practice services are
adjusted periodically to reflect changes in the cost of rendering care and in
the socio-economic circumstances of the day. The adjustments to the COMPO fee guideline
will generally be in line with general inflation in the province of Ontario.
FEES ARE
RECOMMENDATIONS
The COMPO Fee Guideline is issued for information purposes only.
Adoption of the fees recommended herein remains at the discretion of the
osteopathic manual practitioner. Recommended fees represent the full fee for
each service, inclusive of any partial or full insurance provisions.
The COMPO recognizes that osteopathic manual practice fees may vary
across the province. As with other professional and health care professions a
number of factors affect the establishment of a given fee for a given service.
These include the cost to provide the osteopathic service, regional and
economic factors, and considerations of reasonable and customary practice for
patient and osteopathic manual practitioner.
The fee established by an osteopathic manual practitioner for a
given service should be charged to all patients who receive that particular
service, and should be charged without reference to, for example, the existence
of any third-party insurance under which the patient may be covered.
According to Standards established by The College of Osteopathic
Manual Practitioners of Ontario, patients must be informed of the cost of
service before the service is performed regardless of the payer. Where the osteopathic
manual practitioner’s fee is significantly at variance with the recommended
fee, it is suggested that the patient and/or payer be informed of the reasons
for the variance.
Hourly
Fee For All Osteopathic Manual Practice Services: $80
ASSESSMENT
For a new or established patient, shall comprise a full history of
the presenting complaint(s), the review of any relevant documentation, a
detailed inquiry concerning the complaint(s) and detailed examination of the
affected part(s), region(s) or system(s) as required to: (a) arrive at an
osteopathic diagnosis (osteopathic manual practitioners are not permitted to
render medical diagnosis); (b) complete an appropriate record of findings; (c)
advise the patient on course of treatment; (d) where appropriate, refer the
patient for other health care. Time requirement is generally 30-60 minutes.
Assessment Fee: $80 for one hour, $40 for 30 minutes
TREATMENT
Osteopathic manual practitioners in Ontario provide treatments on a
time basis, most commonly 30 minutes to one hour.
The osteopathic therapeutic interventions may be provided at the same
day the assessment is performed, or at a subsequent patient visit. Osteopathic
manual practitioners may employ many different manual techniques such as joint
mobilization, trigger point therapy, myofascial release technique, massage,
muscle energy techniques, visceral techniques, cranial osteopathy, joint
specific therapeutic exercises, positional release technique, and counterstrain
to help patients. Osteopathic manual practitioners in Ontario are not permitted
to perform joint manipulation, also known as high velocity low amplitude
technique.
Treatment Fee: $80 for one hour, $40 per 30 minutes
HOME VISIT
SUPPLEMENT
Osteopathic manual practitioners who provide treatments at the
patient’s home are permitted to add a surcharge to their treatment fees to
recover the transportation costs. Home Visit Surcharge: $40
DETAILED CASE
REPORT
There are instances where the osteopathic manual practitioner is
requested to provide a detail narrative report, mainly in motor vehicle
accident (MVA) cases. The reports are charge on an hourly rate. Most reports
take about 3 to 5 hours of work to be prepared, however it depends on each
individual case.Detailed Report Fee: $80 per hour spent on preparing the report
Photocopy
Photocopy of patient files, clinical notes or other materials for
patient or a third party.Photocopy Fee: $30 for up to 5 pages, $1 per page thereafter
Form or Sick
Note: Simple Sick Note / Return to Work
Certificate completion requiring minimal input and signature by the
osteopathic manual practitioner. Examples of certificates included are
disability forms, institutional benefit program applications and handicap
parking applications.Form & Sick Note Fee: $20
Clinical
Products and Materials
Clinical Products (i.e. orthopaedic braces, splints, exercise products)
and materials (i.e. educational material) are provided at osteopathic manual practitioners
cost plus a reasonable handling charge as well as the time spent by the
practitioner to measure patient and to educate patient on proper use.Measuring & Dispensing Fee: $40 for 30 minutes or $80 for one hour
Custom Made Foot
Orthotics
The fee charged for a pair of custom made foot orthotics includes
all professional services relating directly to the provision of custom made in-shoe
foot orthotics including the assessment & gait analysis, casting, fitting,
and follow up assessment as well as the cost of the custom in-shoe orthotics.
As the cost of foot orthotics differ from each manufacturer and also on the
type and style of prescribed orthotics a range is provided for practitioners.Orthotics Fee: $250 to $350 per pair (fee includes the cost of assessment as well as the product)
