No LT for PAs: With one exception, locum tenens is physicians-only

Why This Topic Matters

Temporary coverage arrangements can affect claim acceptance, enrollment compliance, and payer policy alignment. Understanding the broad Medicare framework helps practices avoid denied claims and other compliance problems when covering vacations, shortages, or other staffing gaps.

Article Sections

1. Question and Answer on Locum Tenens for PAs

   Introduces a question about temporary coverage arrangements involving physician assistants and reciprocal billing. The response frames the issue in the context of Medicare policy and provider eligibility.

2. CMS terminology and Medicare billing context

   Explains how CMS uses and treats the locum tenens concept and why terminology can be confusing in practice. The section also discusses the Medicare billing context for temporary substitution arrangements.

3. Exceptions, payer variation, and compliance reminders

   Covers a limited exception described in federal law, notes that other payers may differ, and highlights several compliance-related reminders about temporary provider coverage and enrollment issues.