decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Locum Tenens, Reciprocal Billing / How to Bill for Locum Tenens, Reciprical Arrangements
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare guidance for locum tenens and reciprocal billing arrangements in an anesthesia context. It addresses the basic framework for substitute coverage, claim form reporting, identification of the regular physician, and related administrative requirements. It is intended for coders, billers, and practice staff who handle substitute physician billing under CMS rules.
Why This Topic Matters
Substitute physician coverage can affect how claims are reported, which provider identifiers appear on the claim, and whether supporting records should be retained. Understanding the article helps billing staff recognize the administrative requirements associated with these arrangements.
What You Will Learn
- The Medicare framework for reciprocal coverage and locum tenens arrangements
- How claim reporting is handled for substitute physician services
- What identifying information is associated with the regular physician and the substitute physician
- General recordkeeping and administrative considerations for these billing arrangements
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Anesthesia office staff
- Revenue cycle professionals
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com