Billing: Locum Tenens Billing Doesn't Apply to New Docs Who Aren't Yet Credentialed

Why This Topic Matters

It helps readers distinguish legitimate temporary coverage billing from improper use of locum tenens billing during physician onboarding. The topic matters for Medicare compliance, claim accuracy, and avoiding billing practices that could be viewed as misrepresentation.

Article Sections

1. Myth and reality about locum tenens use for new physicians

   Introduces the article’s central billing question and contrasts common assumptions with Medicare guidance. It frames the discussion around credentialing delays and temporary coverage billing.

2. The scenario

   Discusses the operational problem practices face when a newly hired physician is not yet credentialed. It describes how billing workarounds can arise and why they are controversial.

3. What is Locum Tenens?

   Summarizes the general locum tenens billing framework referenced in Medicare materials. It covers the basic administrative elements involved in reporting temporary physician services.

4. Don't Just Leave Off Modifier Q6

   Addresses a separate billing practice involving omission of a locum tenens reporting indicator. It also references government commentary and a cited Medicare manual section.