decisionhealth Newsletters, Part B News - 2007 Issue 6 (June)
Summer heat brings locum tenens confusion
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Article Overview
This article explains a disagreement between CMS and NUCC guidance about how locum tenens services should be reflected on the revised CMS-1500 form. It is relevant to billing staff, coders, and practice administrators who handle physician replacement arrangements, claim form completion, and record-retention requirements during the move to NPI-only reporting.
Why This Topic Matters
Practices using substitute physicians need to know which organization’s guidance applies for claim submission and what information must still be maintained in records for carrier review. The article highlights how form instructions, payer policy, and Medicare transition guidance can differ and affect billing workflows.
What You Will Learn
- How locum tenens arrangements are described in the context of physician billing
- Why CMS and NUCC guidance may differ for CMS-1500 reporting
- What kinds of records practices are expected to retain for substitute physician services
- How the transition to NPI-only billing affects administrative workflows
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Compliance personnel
- Physician office managers
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