Locum Tenens – The Role of and Billing for the Substitute Provider

Learn about Medicare Rules on Locum Tenens

If your physician needs a break because of COVID-19, a family vacation or to take time off for a new addition to the family, Locum Tenens is the concept of substituting for your physician with another physician.  

As is often the case, first we look to Medicare for their rules on the topic of Locum Tenens. Medicare made major changes to the Locum Tenens section of the Manual in the last couple of years. Understanding those changes and the sometimes complex billing and documentation requirements for Medicare patients is a start. Researching and implementing the policies of other insurance carriers is the next step in making sure your office has compliant documentation in patient’s charts, as well as other documentation carriers, may require. Locum Tenens is not as simple as putting a modifier on a claim when another physician sees patients in your office. Compliant documentation, tracking, and knowing who can perform these “substitute provider” services is an important part of the process and will be explained during this webinar.  

Webinar Agenda

• Length of the life of a Locums physician 
• What paper trail Medicare mandates be kept   
• Identifying any restrictions placed on your “substitute” physician by the insurance carriers 
  • This will avoid jeopardizing their work or your payment for those services will ensure a smooth transition into and out of their time with your practice
• Documentation of services provided under the Locum Tenens concept is an important step in the compliance process
• The technical aspects of how to bill for their services from carriers is next. What numbers go in which boxes and which modifiers are appropriate
• FAQ from Medicare MAC’s to address common questions

Webinar Highlights

• Who can be a locums tenens provider?
• Length a locums physician is allowed to provide services per Medicare
  • Are there exceptions?
  • Do other carriers have restrictions?
• Medicare specific rules
  • Documentation guidelines
  • Master list of patients
  • Incident to services
  • Claim specific information
• Other insurance carriers
  • How to research
  • What do to if there are not answers

Who Should Attend

• Coder
• Billers
• Office Managers
• Practice Mangers