tci Medicare Compliance & Reimbursement - 2019 Issue 11

Reader Question: Know These Q6 Facts for NP Claims

Question: Can we report a nurse practitioner’s (NP) services to Medicare with a locum tenens modifier? He is filling in for one of our NPs who is on vacation. Supercoder Subscriber Answer: No, you cannot report modifier Q6 (Service furnished under a fee-for-time compensation arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area) to Medicare for an NP’s service. Here’s why: Modifier Q6 was originally designed to represent locum tenens (or substitute) services of one...

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