decisionhealth Newsletters, Part B News - 2014 Issue 7 (July)
6 dos and don’ts when hiring a locum tenens provider this summer
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Article Overview
This article explains the general Medicare billing and administrative considerations that come up when a practice uses a locum tenens physician to cover an absent provider. It is aimed at physician practices, billers, coders, and practice managers who need to understand the broad policy framework, documentation expectations, payer differences, and time-limit considerations discussed in CMS guidance and related administrative interpretations.
Why This Topic Matters
Temporary coverage arrangements can create compliance and billing risk if the practice misunderstands Medicare’s locum tenens framework or assumes other payers follow the same approach. The article helps readers recognize the main administrative issues that affect correct claims handling and coverage continuity.
Article Sections
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Billing
Introduces the Medicare context for locum tenens coverage and discusses the general policy source referenced in the article. It also frames the administrative risk involved in using temporary physicians.
What You Will Learn
- How locum tenens coverage is discussed in Medicare policy terms
- Which general billing and documentation issues are associated with temporary physician coverage
- Why payer policy differences matter when using substitute physicians
- What administrative factors practices should consider when arranging temporary coverage
Who Should Read This
- Physician practices
- Medical billers
- Medical coders
- Practice managers
- Compliance staff
Modifiers Discussed
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