How to Bill for Locum Tenens Physician Services

How to Bill for Locum Tenens Physician Services

-

English
1 Page
Read
Download
Downloading requires you to have access to the YouScribe library
Learn all about the services we offer

Description

How to Bill for Locum Tenens Physician Services There are two ways to bill Medicare when using a locum tenens provider, depending on the situation.

Subjects

Informations

Published by
Published 30 April 2015
Reads 1
Language English
Report a problem


How to Bill for Locum Tenens Physician Services
There are two ways to bill Medicare when using a locum tenens provider, depending on the situation.
One is to set up the locum tenens physician with their own NPI and the other is to use the NPI of the physician they are
replacing, plus the Q6 modifier code.
This Q6 code is only allowed to be used for a 60-day period, at which time either the replaced physician or another
locum tenens physician needs to come in to work for at least a day before the original locum tenens physician can come
back and again be billed under Q6 – this resets the 60-day limit.
What do you do if a reset isn’t possible, and you want to keep using the same locum tenens provider as a replacement
beyond 60 days?
Unless the physician being replaced is on active military duty (which waives the 60-day limit), you will need to bill
Medicare using the locum tenens physician’s NPI.
In addition, any time a locum tenens provider is working in the place of another physician for longer than 60 days, you
need to have a contract that includes joint and several liability and ensures access to claims submitted by the entity for
the services provided by the locum tenens physician.
Here is a sample of the clause needed:
 Physician and Client will have joint and several liability for any Medicare overpayment relating to claims made
for Physician’s services, but Client will hold Physician harmless for any such liability.
 Physician shall have unrestricted access to claims submitted by client for services provided by Physician.
Knowing which billing method to use when can be tricky, so we’ve mapped it out for you below.
Vista Staffing Solutions