E/M Coding Alert - 2005 Issue 30
LOCUM TENENS: Track Locum Tenens Billing Or Face Audits
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Article Overview
This article is a practical compliance-focused discussion for medical billing and practice management staff handling temporary physician coverage. It covers how locum tenens billing is documented, how claims are tracked, how locum coverage differs from reciprocal billing, and common situations where the locum tenens approach does not apply. The piece is aimed at helping readers recognize the recordkeeping and administrative issues associated with this type of billing arrangement.
Why This Topic Matters
Proper handling of temporary physician coverage affects claim accuracy, documentation retention, and audit risk. Readers who bill for covered physician absences need to understand the administrative requirements and the boundaries of the locum tenens arrangement.
Article Sections
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Use computerization, special file for temp doctor
Introduces the general topic of temporary physician coverage and the need for organized tracking of related claims and records.
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Keep Copies Of Locums' Claims
Describes recordkeeping approaches used to maintain a separate file or electronic tracking method for temporary physician claims.
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Mind Your Q Modifiers
Discusses the need to distinguish two billing modifiers associated with different temporary coverage arrangements.
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Remember: Doctors Only
Notes limits on when locum tenens billing is appropriate and identifies categories of coverage situations that fall outside the discussion.
What You Will Learn
- How locum tenens billing is documented and tracked
- Why separate claim records matter for temporary physician coverage
- How to distinguish different temporary coverage billing arrangements
- Which types of staffing situations are outside the scope of locum tenens billing
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance personnel
- Physician office administrators
Codes Discussed
Modifiers Discussed
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