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Wiki Locum Tenens questions

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Lisa Bledsoe

True Blue
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Greeley, Colorado
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I think this question got lost in the other post about locum tenens: Does the Locum Tenens guideline also apply to commercial insurance? If so, would you still need to use the Q6 modifier? The other question I have - as far as Medicare (or commercial I guess) don't you have to use the NPI of the "absent" doctor for all locum tenen charges?
Does anyone know? TIA :confused:
 
Hi Lisa!

The Blues follow Medicare guidelines for locum tenans, as do most of the major payers, including using the Q6 modifier and billing under the "absent" physician's name and NPI. I would check with each carrier, though, as some require that you do put the locum's NPI somewhere on the claim (can't remember which field - 24K??)

Hope this helps!
 
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