Wiki Locum Tenens Billing

kreis17

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The physician that I work for is wanting to bring someone to the practice on a trial basis and is looking to bill for these services. I do see articles posted that state you can bill to Medicare with the Q6 modifier, but to me it looks like you can bill for the services if the locum tenen was filling in for a physician for a period of 60 days or less or the physician is called to active duty. Am I interpreting this correctly or can we bill for the locum tenen if they are only here for a trial period? Any guidance on this would be greatly appreciated :)
 
Just to clarify - Is the idea that the trial doctor's services would be billed under the NPI of the doctor who is testing him out?
 
You're correct- unless this trial provider that your physician wants to bring into the practice is filling in for another temporarily absent provider, then you can't bill with the Q6 modifier. The services can be billed under the trial provider's own NPI but you'd need to have them enrolled and credentialed with Medicare through your practice. The regulatory guidance can be found in Medicare Claims Processing Manual, Chapter 1, General Billing Requirements, Section 30.2.11. :)
 
You're correct- unless this trial provider that your physician wants to bring into the practice is filling in for another temporarily absent provider, then you can't bill with the Q6 modifier. The services can be billed under the trial provider's own NPI but you'd need to have them enrolled and credentialed with Medicare through your practice. The regulatory guidance can be found in Medicare Claims Processing Manual, Chapter 1, General Billing Requirements, Section 30.2.11. :)
Thank you! :)
 
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