tci Medicare Compliance & Reimbursement - 2018 Issue 7

Review These LT and Reciprocal Billing Key Points

Watch the NPI rules. Doctors go on vacations, have family emergencies, and get sick just like everyone else. Substituting another physician under one of the two billing option can be tricky. Pocket this quick go-to for the top takeaways and nuances separating locum tenens (LT) and reciprocal billing. Locum tenens fundamentals: LT describes a one-way exchange between providers. For this type of billing situation, a physician would retain a substitute physician to take over the practice for such reasons as illness, pregnancy, vacation, or continuing medical education. The substitute physician or LT generally is paid a fixed amount per...

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