How much FPSC revenue
are you missing?
Most physicians capture less than 35% of the FPSC incentive revenue they qualify for. This calculator shows you the gap — broken down by CDM, mental health, conferencing, and prevention categories.
FPSC Revenue Gap Calculator
See how much FPSC incentive revenue you’re eligible for vs. what you’re currently capturing. Most physicians bill less than 35% of what they qualify for.
Annual Gap
$135,008
Quarterly Gap
$33,752
Why the gap exists
- • Documentation requirements not met (start/end times missing)
- • Complex eligibility rules (CDM requires 2 visits in 12 months)
- • Time pressure prevents proper documentation
- • EMR systems don’t prompt for eligible incentives
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Rates from April 2025 MSC Payment Schedule · Verified 2026-03-27
Key incentive categories
Chronic Disease Management (CDM)
14050–53Condition-specific: Diabetes ($125.78), Heart Failure ($125.78), COPD ($125.78), Hypertension ($50.31). Requires 2 visits in the prior 12 months. Documentation must include start/end times in both chart AND MSP submission.
$50–$126/patient/year
Mental Health Planning
14043Initial mental health care plan. Eligible for patients with a confirmed DSM Axis I diagnosis. Requires 30-minute minimum face-to-face. One-time planning fee per patient per calendar year.
$110.30/patient
Mental Health Management & Counselling
14044–14048Ongoing management sessions following a 14043 plan. Age-banded from $76.88 (age 2-49) to $112.44 (80+). Max 4 sessions per calendar year. Min 20 minutes face-to-face.
$76.88–$112.44/session
GP-Allied Care Provider Conference
14077Phone or video conferencing with specialists, home care nurses, or community providers. $43.23 per 15-minute unit. Max 30 min/day, 270 min/year per patient. Replaces retired codes 14015, 14016, 14017.
$43.23/15 min
Health Risk Assessment
14066Preventive care screening and health risk assessment for eligible patients. Available once per year.
$50.31/patient
Common reasons incentives go unclaimed
- • Start and end times not documented in both chart AND fee submission
- • Physicians unaware of which patients qualify
- • CDM billed without the 2-visit prerequisite being met
- • EMR systems don’t prompt or remind about eligible codes
- • Once Palliative Planning (G14063) is billed, CDM incentives become ineligible for that patient
Sources: FPSC Incentives (fpscbc.ca), FPSC CDM Billing Guide (Feb 2022), MSC Payment Schedule (April 2025), Divisions BC fee summaries. Rates verified March 2026. This calculator provides estimates — actual eligible revenue depends on your specific patient panel and documentation practices.
Stop leaving incentive money on the table
Book a free 30-minute call. We’ll identify your highest-value FPSC opportunities and show you exactly what you’re missing.