Proactive Billing Solution

Medical Billing Guidelines for Locum Tenens:

👉It is a longstanding and widespread practice for physicians to retain substitute physicians to take over their professional practices when the regular physicians are absent for reasons such as illness, vacation, for the regular physician to bill and receive payment for the substitute physician’s services as though he/she performed them.

👉 The substitute physician generally has no practice of his/her own.The regular physician (RP) generally pays the substitute physician a fixed amount per diem, with the substitute physician having the status of an independent contractor rather than of an employee.

👉These substitute physicians are generally called “locum tenens” physicians.

👉Payment Procedure:
A patient’s regular physician may submit the claim, and receive the payment, for covered visit services.

The substitute physician (SP) does not provide the visit services to Medicare patients over a continuous period of longer than 60 days.

👉The (RP) identifies the services as (SP) services meeting the requirements of this section by entering HCPCS code modifier Q6 after the procedure code.

👉When Form CMS-1500 is next revised, provision will be made to identify the substitute physician by entering his/her unique physician identification number (UPIN) or NPI when required to the carrier upon request.

👉Billing for the services of locum tenens physicians can be a little tricky and timing is important, but it is well worth the investment of time when your reimbursements flow in as usual.

👉To get more info please visit:

Email: [email protected]
Email: [email protected]
📞 +1(816) 925-0210
Website: www.proactivepbs.com

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