Specialist – Abolition of certain contextual elements

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With the newsletter 309, the RAMQ is putting an end to certain contextual elements as of April 1, 2022 (service date). This will simplify your billing.
Rémunération à l’acte validations will now allow you to pay for services billed in accordance with the Accord Cadre without having to use these context elements. The applicable preliminary amount will be deducted based on the codes billed.

The following is a list of the abolished elements and the section of the Physician Specialists Manual – Rémunération à l’acte in which they appeared

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