Term: Shadow Billing

Glossary Definition

Last Updated: 2008-02-14

Definition:

Claims (billings) submitted to the provincial government by physicians on alternate payment plans (APP) for services they provide. Unlike physician claims submitted by fee-for-service physicians for payment, these claims are for administrative purposes only (i.e.: as a record of services provided). Also known as "Evaluation Claims" and "Dummy Claims".

Related concepts 

• Shadow Billing Data Validation

Related terms 

• Alternate Payment Plan (APP)
• Fee-For-Service (FFS)
• Medical Claims
• Medical Services / Medical Claims Data
• Physician Claims
• Salaried Physicians

References 

• Martens PJ, Bond R, Jebamani L, Burchill C, Roos NP, Derksen S, Beaulieu M, Steinbach C, MacWilliam L, Walld R, Dik N, Sanderson D, Health Information and Research Committee AoMC, Tanner-Spence M, Leader A, Elias B, O'Neil J. The Health and Health Care Use of Registered First Nations People Living in Manitoba: A Population-Based Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2002. [Report] [Summary] [Additional Materials] (View)
• Menec V, Lix L, Steinbach C, Ekuma O, Sirski M, Dahl M, Soodeen R. Patterns of Health Care Use and Cost at the End of Life. Winnipeg, MB: Manitoba Centre for Health Policy, 2004. [Report] [Summary] (View)

Term used in 

• Doupe M, Kozyrskyj A, Soodeen R, Derksen S, Burchill C, Huq S. An Initial Analysis of Emergency Departments and Urgent Care in Winnipeg. Winnipeg, MB: Manitoba Centre for Health Policy, 2008. [Report] [Summary] [Additional Materials] (View)
• Finlayson G, Leslie WD, MacWilliam L. Diagnostic Imaging Data in Manitoba: Assessment and Applications. Winnipeg, MB: Manitoba Centre for Health Policy, 2004. [Report] [Summary] (View)
• Finlayson G, Reimer J, Dahl M, Stargardter M, McGowan K. The Direct Cost of Hospitalizations in Manitoba, 2005/06. Winnipeg, MB: Manitoba Centre for Health Policy, 2009. [Report] [Summary] [Additional Materials] (View)
• Fransoo R, Martens P, The Need to Know Team, Prior H, Burchill C, Koseva I, Bailly A, Allegro E. The 2013 RHA Indicators Atlas. Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Report] [Summary] [Additional Materials] (View)
• Katz A, Bogdanovic B, Ekuma O, Soodeen RA, Chateau D, Burnett C. Physician Resource Projection Models . Winnipeg, MB: Manitoba Centre for Health Policy, 2009. [Report] [Summary] (View)
• Katz A, Avery Kinew K, Star L, Taylor C, Koseva I, Lavoie J, Burchill C, Urquia M, Basham A, Rajotte L, Ramayanam V, Jarmasz J, Burchill S. The Health Status of and Access to Healthcare by Registered First Nation Peoples in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2019. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)
• Martens P, Nickel N, Forget E, Lix L, Turner D, Prior H, Walld R, Soodeen RA, Rajotte L, Ekuma O. The Cost of Smoking: A Manitoba Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2015. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)