decisionhealth Newsletters, Part B News - 2025 Issue 5 (May)
Practices rely on locum tenens when physicians take time off
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Article Overview
This article reviews long-term Medicare Part B claims data to show how substitute-provider services have been billed over time and how those trends changed during the COVID-19 public health emergency. It is useful for coding professionals, practice managers, and compliance staff who track Medicare billing patterns, modifier usage, and policy-related shifts affecting substitute services in qualifying areas.
Why This Topic Matters
Understanding how substitute-provider billing patterns change over time can help practices, coders, and revenue cycle teams monitor Medicare claim trends and stay aware of policy-driven reporting issues tied to locum tenens and reciprocal arrangements.
Article Sections
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Benchmark of the week
A brief data-focused overview of Medicare Part B claims trends related to substitute-provider services over a multiyear period.
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Total services reported with modifier Q5 or Q6, 2013-2023
A chart caption introducing the reported service totals used in the article’s trend discussion.
What You Will Learn
- How the article frames substitute-provider billing trends in Medicare Part B claims data
- What broad time period the analysis covers
- Which general policy and public health events are discussed as context for the trend analysis
- How the article relates substitute services to Medicare reporting in qualifying geographic areas
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice managers
- Compliance staff
- Healthcare administrators
Codes Discussed
Modifiers Discussed
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