Policy: Understand This Medicare Update on Locum Tenens

Why This Topic Matters

Practices often rely on temporary physician coverage during absences, and Medicare’s updated wording and billing expectations can affect how those services are reported. Understanding the policy helps reduce claim errors and supports consistent handling of substitute physician billing across payers.

Article Sections

1. Introduction

   Introduces the topic of substitute physician billing and notes that Medicare guidance uses updated terminology. It frames the article as a practical overview for practices planning temporary coverage.

2. Latin Definition Epitomizes Locum Tenens

   Explains the general concept behind locum tenens and discusses how the Medicare-related terminology is described in the article. It also notes that other payers may follow Medicare or maintain separate policies.

3. Don’t Employ Locum Tenens/FTC As Extra Help

   Covers the circumstances under which temporary substitute physician billing is and is not appropriate. It also discusses claim identification and reporting considerations associated with substitute physician services.

4. Observe Locum Tenens/FTC Time Limit

   Summarizes the duration limit for substitute physician coverage and mentions what happens when coverage extends beyond that period. It also addresses documentation expectations tied to the temporary coverage arrangement.