ED Coding & Reimbursement Alert - 2007 Issue 21
Doc On Summer Vacation? Ease Locum Tenens Headaches In 3 Steps
Subscribe or sign in to view the full article.
Article Overview
This article is about locum tenens billing in physician practices when a regular physician is temporarily away. It focuses on general compliance considerations, claim preparation, and practical administrative cautions, with attention to HCPCS/CPT reporting and Medicare-style claim placement. It is aimed at coders, billers, and practice administrators who need to understand how temporary substitute physician services are handled on claims without creating compliance problems.
Why This Topic Matters
Temporary physician coverage can affect how claims are prepared, who is reported as performing the service, and whether a payer will accept the submission. Understanding the article helps billing staff recognize the relevant claim fields, distinguish locum tenens from other substitute arrangements, and avoid common administrative mistakes.
Article Sections
-
Don't Confuse Q6 And Q5
Introduces the article’s first topic: distinguishing two HCPCS/CPT-related modifiers used in temporary physician coverage scenarios. The section frames the billing context for locum tenens services.
-
Properly Fill Out the Claim
Covers claim preparation and form placement considerations for locum tenens billing. The section also notes that payer handling may vary outside of Medicare.
-
Avoid Logistical Pitfalls
Discusses operational cautions connected with using locum tenens coverage in a practice setting. The section focuses on administrative and payment-related issues to watch for.
What You Will Learn
- How the article frames locum tenens coverage in physician practice billing
- What general claim-handling topics are associated with temporary substitute physician services
- Which administrative cautions are highlighted for billing teams
- How the article situates Medicare and non-Medicare payer differences at a high level
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Physician office administrators
- Compliance staff
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com