nc_coder
Expert
Can anyone give me any information on billing for a Locum Tenens or tell me where to go to get information on this subject? Thank you in advance.
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Wiki Locum Tenens-anyone give me
- Thread starter nc_coder
- Start date
RebeccaWoodward*
True Blue
You have to append modifier Q6 to the locums services and bill under the NPI of the physician the locum is filling in for. You can bill for a locum for 60 continuous days.
The link below provides greater detail
http://www4.cms.gov/manuals/downloads/clm104c01.pdf
30.2.11
The link below provides greater detail
http://www4.cms.gov/manuals/downloads/clm104c01.pdf
30.2.11
nc_coder
Expert
Thank you for your response. Do you know if commercial payers tend to follow these guidelines as well? I have called a couple of our carriers and when I say "locum tenens" they act like I am speaking a foreign language and have no idea what I am talking about.
RebeccaWoodward*
True Blue
Yes. It doesn't surprise me that custom service is ignorant to this information (this is not a derogative comment...just poor training). You may want to contact the provider representative for your region but the process should be the same.
Ohhh...I just realized you're in NC. I may have the reps name and #...just let me know if I can help.
Ohhh...I just realized you're in NC. I may have the reps name and #...just let me know if I can help.
nc_coder
Expert
I have actually been in contact with most of our reps today. I found out that UHC and Aetna do not even recognize Locum billing. Only a provider credentialed with our practice can bill for treatment. So what is the point of even having Locum if you can't get paid for them?
RebeccaWoodward*
True Blue
I'll have to research that. I haven't heard this. Interesting since we haven't received any denials/correspondence from these two particular carriers.