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locum tenens billing

  1. #1
    Default locum tenens billing
    Medical Coding Books
    I have never billed for locums. I have been reading and learning alot of needed information. My question is if the regular physician they are there to replace is not on vacation or sickness they are just not coming back because they took another job- is it still legal to use their NPI to bill?

  2. #2
    Default
    Here's a link on billing. Hope this helps. We battled this at the hospital I worked for and it's not fun

    http://www.locumtenens.com/media/442...rimary__2_.pdf


    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  3. Default
    When a provider receives a NPI#, that number stays with that provider no matter where that provider provide service. That number is used by CMMS to track provider fraud and a number of other things. So, if I was a provider with my own NPI, I would not want anyone using my number when I am not the one providing the service or especially if I am no longer affiliated with the facility or group.

  4. #4
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    Default
    Quote Originally Posted by jmcalister View Post
    I have never billed for locums. I have been reading and learning alot of needed information. My question is if the regular physician they are there to replace is not on vacation or sickness they are just not coming back because they took another job- is it still legal to use their NPI to bill?
    This would not be a locum tenens situation. The regular physician has left and is still practicing in another location. The locum tenens rule is that the regular physician is not available, i.e. sick, on leave, on vacation, etc. The replacement physician will have to get their own NPI number and be credentialed with the insurance carriers.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  5. #5
    Default
    thanks I appreciate all the help.

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