tci Medicare Compliance & Reimbursement - 2010 Issue 2

PART B MYTHBUSTER: Avoid Billing Locum Tenens For New Docs Who Aren't Yet Credentialed

Medicare doesn't consider locum tenens an appropriate billing scenario for an uncredentialed physician. Myth: Tired of waiting for your new physician's Medicare credentialing to process? You can just report the new doctor's service under an existing physician's ID number and append the locum tenens modifier to it, right?Reality: No way. Locum tenens is designed to represent services performed "in the absence of the regular physician," according to Chapter 1 of the Medicare Claims Processing Manual.The scenario: Many practices have grown frustrated at wait times for Medicare credentialing when they hire a new physician, so they simply...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.