Outpatient Facility Coding Alert - 2003 Issue 8
Reader Question: Follow Procedure for Locum Tenens
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Article Overview
This short reader question and answer discusses locum tenens billing in the context of Champus/Tricare. It explains the administrative steps involved in getting a temporary physician added to a group’s claims setup, the kind of information the payer may require, and the expected processing timeline. The article is relevant to practices that bill military-health-plan beneficiaries and need to understand payer enrollment and claim-submission workflow for temporary coverage arrangements.
Why This Topic Matters
Temporary physician coverage can create billing and enrollment issues if the substitute clinician is not properly recognized by the payer. This article helps practices understand the general administrative process involved before submitting claims for a locum tenens under Champus/Tricare.
What You Will Learn
- How a locum tenens arrangement is handled administratively for military-related coverage.
- What payer enrollment steps may be involved before claims can be submitted.
- Why temporary claims may need to be held until payer processing is complete.
- That regional differences may affect the process.
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician office administrators
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