No more premium for surgeons to arrive on time

No more premium for surgeons to arrive on time

The $ 110 bonus paid to surgeons who show up for surgery before eight in the morning will soon be a thing of the past.

From next Monday, the “attendance bonus” can no longer be invoiced by specialists as has been the case since 2011.

Jean-Francois Foisy
Institute for the relevance of medical acts

“At the time, it often happened that surgeons arrived at nine o’clock and it delayed the operating room,” said the director general of the Institute for the relevance of medical acts (IPAM), Jean-François Foisy.

This amount had been negotiated by the former president of the Federation of medical specialists, Gaétan Barrette and the former Minister of Health, Yves Bolduc.

Anesthesiologists too

In 2018, our Investigation Office revealed that the RAMQ had paid $ 41 million over three years for this bonus. Several nurses and even medical specialists were outraged.

The sum is paid to the surgeon if the anesthesiologist takes charge of the patient before eight in the morning.

They are also entitled to an attendance bonus which will be abolished.

The only exception is that surgeons can continue to bill $ 22.15 per 15 minutes for procedures between 5 and 7 p.m. Previously, they could invoice as early as 3 p.m.

This is in addition to the amount billed for the surgery itself.

The end of the attendance bonus is one of the first measures taken by the Institut de la relevance created following the compensation agreement between Quebec and the FMSQ in 2019.

The money saved will have to be used in particular to improve access to specialized medicine.


In addition to the repeal of the attendance bonus, another measure will come into force on Monday.

It will no longer be possible to bill for x-rays for patients suspected of having sinusitis.

“This type of examination will no longer exist. We want to eliminate exams with low added value, ”says Jean-François Foisy.

By 2023, the Institute should have identified $ 240 million in “relevance” in the billing of medical specialists.

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