tci Part B Insider - 2012 Issue 43

Clip And Save: 13 Tips for Recouping Payment for Substitute Physicians

Hint: Don't mix up modifiers Q5 and Q6. Although you can't bill locum tenens for new physicians who haven't been credentialed yet (see previous page for more), you can use locum tenens or reciprocal billing in other situations, such as when your doctor is on vacation. With the holidays approaching and many physicians on vacation, you should keep this clip-and-save checklist handy for quick how-to advice on applying modifiers Q5 and Q6. 1. Know What Reciprocal Billing Means. Remember that reciprocal billing allows a physician to submit claims and receive Medicare payments for services that he has arranged for...

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