tci Part B Insider - 2012 Issue 43

Billing: Locum Tenens Billing Doesn't Apply to New Docs Who Aren't Yet Credentialed

Uncredentialed physicians don't fall into any 'locum tenens loophole.' Myth: Tired of waiting for your new physician's Medicare credential 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 report the new...

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