Nova Scotia Physician's Manual Modernization Project

To accurately reflect the services physicians provide to patients. 

A five-year project to improve and modernize the Nova Scotia Medical Services Insurance (MSI) Physician’s Manual and processes associated with it is underway.

The project is a joint initiative of Doctors Nova Scotia and the Department of Health and Wellness.

Latest news

Merged 2014 MSI Physician's Manual

The 2014 MSI Physician’s Manual now includes the Billing Instructions Manual merged in one convenient document.

Content is grouped by topic in one searchable and cross-referenced document for improved navigation. The rules and content meaning haven’t changed, except for 2013 policies previously announced in the MSI Bulletin.

The merged manual is a Physician’s Manual Modernization Project milestone. An interim step to better support physicians and billing staff to use required billing documentation. 

New terminologies chosen

The project steering committee has chosen two new terminologies as the foundation of the new manual.

SNOMED CT will replace the International Classification of Diseases (ICD-9) for reporting diagnoses while Current Procedural Terminology (CPT) will replace the Canadian Classification Procedures (CCP) for reporting health service descriptions.

Learn more about the new terminologies.

Modern services

A modernized manual will accurately reflect the services physicians provide to patients. Many physicians maintain the current manual doesn’t support modern service delivery.

The project is one of the most significant undertaken by Doctors Nova Scotia, both in scope and potential impact to support physicians in the work they do.

Billing and reporting services

Billing and reporting services will be easier and more accurate, allowing physicians to bill with confidence. The new documentation will be easy to maintain and will result in better information for planning.

Practice efficiencies

At the conclusion of the project physicians will have ongoing access to the information they report to help them practice more efficiently and effectively. Better information means better care for patients as well as practice efficiencies.

Current processes

During the course of the project applications for new fees codes and adjustments to fee codes will continue through the Fee Schedule Advisory Committee as mandated.

Physician involvement

Physician input is critical to the project, especially to review the diagnoses and service descriptions used now and to identify the additional descriptions required to reflect the work they do.

To express interest in becoming involved in the Nova Scotia Physician's Manual Modernization Project, contact:

Jennifer Girard
Policy advisor
Doctors Nova Scotia