CMGP — Comprehensive Care Management / General Practice

AHCIP GR 3.3 (CMGP Eligibility). A Comprehensive Care Management / General Practice visit (03.04A) requires a full history, full physical, and comprehensive management plan. Common Zorva finding: a focused visit was documented but a CMGP code was billed (rule AH-CG-01). The audit flags this because over-billing a CMGP is a potential fraud flag for HIA / PIPEDA purposes.