decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Locum Tenens, Reciprocal Billing / Locum Tenens Billing Rules Apply Only to Physicians, Not CRNAs
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Article Overview
This article discusses Medicare billing guidance for locum tenens and reciprocal billing under the Medicare Claims Processing Manual. It is aimed at coders, billers, and compliance staff who need to understand how the policy is framed for physicians versus non-physician practitioners, and it highlights the broader administrative context around substitute-provider billing.
Why This Topic Matters
Understanding which provider types are included in locum tenens guidance is important for compliant billing and accurate claim submission. The article helps readers recognize the scope of the Medicare policy without relying on assumptions about other practitioner categories.
What You Will Learn
- The Medicare policy context for locum tenens and reciprocal billing
- How the article frames the distinction between physician and non-physician practitioner billing
- What administrative source the article cites for its discussion of substitute-provider billing
- The general billing considerations raised for CRNAs in this context
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Physician practice administrators
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