decisionhealth Newsletters, Answer Books - 2008 Issue 7 (July)
Answer_Book / Substitute_Physicians / How to count the 60 days
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Article Overview
This short article addresses Medicare billing considerations for substitute physicians working under reciprocal or locum tenens arrangements. It focuses on how the 60-day period is counted, including the role of weekends and holidays, and why the timing matters for determining which physician bills Medicare. The article is useful for physicians, billing staff, and coders who manage temporary coverage arrangements.
Why This Topic Matters
Temporary physician coverage can affect which provider should bill Medicare and when billing responsibility shifts. Understanding the counting method helps avoid billing errors in substitute physician arrangements.
What You Will Learn
- How Medicare frames the 60-day period for substitute physician coverage
- Why the start date of the coverage period matters
- How non-business days affect the counting of the period
- How billing responsibility can shift after the coverage period ends
Who Should Read This
- Physicians
- Medical office staff
- Medical coders
- Billing specialists
- Practice managers
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