decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Locum Tenens, Reciprocal Billing / Expanding Your Practice_Don't Use Locum Tenens
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Article Overview
This article explains a Medicare-related anesthesia billing issue involving attempts to use locum tenens rules for CRNA staffing. It is aimed at anesthesia practices, coders, and billing staff who need to understand the difference between substitute-physician arrangements and temporary staffing solutions, and it references federal and manual guidance relevant to contractual CRNA relationships.
Why This Topic Matters
Understanding the scope of locum tenens and related Medicare guidance helps practices avoid applying a billing arrangement outside its intended use when addressing staffing shortages. The article is relevant to organizations managing anesthesia coverage, temporary clinician relationships, and compliance with Medicare rules.
What You Will Learn
- The general purpose and limits of locum tenens in a Medicare billing context
- How temporary anesthesia staffing issues may be addressed through other types of arrangements
- Where to find referenced Medicare regulatory and manual guidance on contractual CRNA relationships
- Why anesthesia practices may need to distinguish between substitution and staffing coverage
Who Should Read This
- Anesthesia practices
- Medical coders
- Billing staff
- Compliance personnel
- Practice managers
Codes Discussed
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