bulletin

Bulletin Number
        2006
Date
        May 4, 1998
Direct inquiries to

         Ministry of Health
         Processing Office


(address below)
Distribution
        Independent Health Facilities       
Subject      DIAGNOSTIC TESTS ORDERED BY EXTENDED CARE REGISTERED NURSES - ECRN - (NURSE PRACTITIONER)
Effective February 11, 1998, extended care registered nurses (ECRNs) are permitted to order certain x-ray and ultrasound procedures performed in hospitals and independent health facilities (IHFs).

An ECRN is defined as a member of the College of Nurses of Ontario who is a registered nurse and holds an extended certificate of registration under the Nursing Act, 1991. Each ECRN will be issued a unique OHIP identification number within the range 722900 to 744292, and will be assigned a speciality code of "76".

Claims for diagnostic services ordered by ECRNs should be submitted in a similar manner as existing claims with the referring ECRN’s number recorded in the "referring physician" field on IHF’s facility fee claims.

Note: The Nurse Practitioner identification number is for referrals only, it does not permit the Nurse Practitioner to make direct claims submissions to OHIP.

Facilities should only accept referrals from ECRNs (and submit claims for the associated facility fees) for the following services:

  1. Diagnostic Radiology- mammography, chest, ribs, arm, wrist, hand, leg, ankle and foot.
  2. Diagnostic Ultrasound- abdomen, pelvis and breast.
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