tci E/M Coding Alert - 2015 Issue 9

Reader Questions: Obey the 60-day Max for Locum Tenens

Question: We will employ a substitute physician to fill in for one of our physicians who is taking maternity leave next month. I was told that we’re billing for this physician under the absent physician’s Medicare ID. I’ve never billed for a substitute physician before. Do I need to observe any specific coding/modifier rules for this physician’s services? Maryland Subscriber Answer: You’ll need to know a couple of rules, and one specific modifier, in order to bill for substitute — aka locum tenens — physicians. Check out this quick guidance on getting each locum...

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