tci ED Coding & Reimbursement Alert - 2006 Issue 11

Double-Check for Modifier Q6 on Your Locum Tenens Claims

When the regular doctor is out, follow these rules when coding for the replacement physician When one of your physicians takes a leave of absence and the ED hires a substitute physician to fill in, you must take extra coding steps on Medicare claims to ensure payment for the sub's services.Why? When your ED employs a substitute, or locum tenens, physician, Medicare wants to see specific modifiers on claims. Further, your ED must observe time limits for locum tenens doctors. Otherwise, Medicare won't pay for their services. You Can't Hire Locum Tenens Doctor as Extra Staff There are...

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