tci ED Coding & Reimbursement Alert - 2008 Issue 2

Reader Questions: Observe Locum Tenens Rules for Sub Physicians

Question: One of our physicians is taking December and January off (an extended holiday). We have retained the services of another ED physician to take her place while she is gone. Any advice on filing claims for work the substitute performs? Minnesota SubscriberAnswer: It depends on the insurer. For Medicare, you must observe locum tenens reporting rules. These guidelines govern all services provided to Medicare patients by a substitute physician.Explanation: The most important thing to remember when billing for substitutes is modifier Q6 (Service furnished by a locum tenens physician). You must append this modifier to every procedure...

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