Part B Insider - 2015 Issue 9
Reader Questions: Obey the 60-day Max for Locum Tenens
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Article Overview
This reader Q&A addresses how a practice should handle substitute physician coverage when a regular physician is on extended leave. It focuses on general billing considerations for locum tenens services, the use of a specific modifier, and the coverage time limit described in the article. The piece is aimed at medical billers, coders, and practice staff who need a quick overview of locum tenens claim handling.
Why This Topic Matters
Locum tenens arrangements are common during physician absences, and billing them incorrectly can create claim errors. This article helps readers understand the general administrative and coding context so they can decide whether the full guidance applies to their situation.
Article Sections
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Question
A reader asks about billing a substitute physician during maternity leave and whether any special coding or modifier considerations apply.
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Answer
The response outlines the broad billing approach for locum tenens services, including claim setup, a modifier discussion, and a coverage time limit.
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Billing
This section describes the general claim reporting approach for services furnished by a substitute physician under the covering physician’s identifiers.
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Modifier
This section identifies a specific modifier associated with locum tenens services and explains that it is discussed in the context of those claims.
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Time limit
This section discusses the maximum duration for locum tenens coverage referenced in the article.
What You Will Learn
- How the article frames billing for substitute physician coverage
- Which general claim elements are discussed for locum tenens services
- What type of modifier guidance the article addresses
- What timing limitation is mentioned for locum tenens arrangements
Who Should Read This
- Medical billers
- Medical coders
- Practice managers
- Physician office staff
Codes Discussed
Modifiers Discussed
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