Part B Insider - 2013 Issue 5
Reader Question: Make Arrangements for Incident-to Under Locum Tenens
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Article Overview
This reader Q&A addresses how a practice may handle billing for incident-to services when the supervising physician is temporarily away and a locum tenens physician is covering. It is relevant to physician practices, nurse practitioners, and billing staff who manage Medicare-related claims, collaboration arrangements, and documentation requirements. The article also references CMS guidance and a local Medicare contractor resource, making it useful for readers looking for general compliance considerations around substitute physician coverage.
Why This Topic Matters
Billing for incident-to services during physician absences can affect claim submission, supervision, and documentation practices. Understanding the general framework helps practices evaluate coverage arrangements and review applicable state and Medicare requirements.
What You Will Learn
- How incident-to billing may be handled during a physician’s temporary absence
- What general supervision and collaboration issues may need review in a locum tenens arrangement
- Why documentation and local policy checks matter when substitute coverage is involved
- Which Medicare guidance resources are referenced for additional context
Who Should Read This
- Physicians
- Nurse practitioners
- Medical office managers
- Medical billers and coders
- Compliance staff
Modifiers Discussed
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