Ask a Part B News Expert: Resetting the 60-day locums clock

Why This Topic Matters

Group practices can face claim, documentation, and audit risk when relying on temporary physician coverage after a resignation. Understanding the general Medicare and carrier compliance considerations helps practices evaluate whether their billing approach remains supportable.

Article Sections

1. Question from a group practice about extended locum tenens coverage

   Introduces the compliance question raised by a physician resignation and the need for temporary replacement coverage under Medicare billing rules.

2. Response and cited Medicare guidance

   Summarizes the article’s discussion of CMS guidance, carrier uncertainty, and the general compliance considerations surrounding extended temporary coverage.

3. Practical compliance steps for documentation and carrier review

   Covers broad recordkeeping and verification practices, including maintaining supporting documentation and checking payer guidance for the situation.

4. Internet reference

   Lists the external Medicare manual reference cited by the article.