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Locum Tenens questions

  1. #1
    Location
    Greeley, Colorado
    Posts
    2,045
    Question Locum Tenens questions
    Medical Coding Books
    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
    Lisa Bledsoe, CPC, CPMA

  2. #2
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    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!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Thanks Cindy. That is what I thought but as usual, I have to find it in writing...guess I'll ask the insurance reps here to call their provider reps.
    Lisa Bledsoe, CPC, CPMA

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