ED Coding & Reimbursement Alert - 2016 Issue 5
You Be the Coder: Put Locum Tenens Rules to Work for You Using These Tips
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Article Overview
This short coding Q&A discusses how locum tenens physician services are handled under Medicare billing and coding guidelines. It is intended for coders and practice staff who need a practical overview of substitute-physician claim reporting, the related modifier and office visit coding references, and the basic time and billing framework described in the article.
Why This Topic Matters
Understanding locum tenens billing helps practices report substitute-physician services correctly when a regular physician is temporarily unavailable. The article clarifies the general Medicare-oriented framework and the kinds of claim elements that need attention.
What You Will Learn
- How locum tenens physician services are framed under Medicare-oriented billing guidance
- What types of claim elements are discussed for substitute-physician reporting
- How the article addresses temporary coverage and service-time limits
- Which broad coding references are used in the example scenario
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician office administrators
Codes Discussed
Modifiers Discussed
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