tci Part B Insider - 2005 Issue 40

Part B Coding Coach: Are These 5 Locum Tenens Myths Clouding Your Q5/Q6 Compliance?

Obeying the 60-day limit may be trickier than you think Attention all coders: You may have some dangerous misconceptions on how to distinguish locum tenens from reciprocal billing--and on how to apply the 60-day timeframe that applies to both. Be sure you are appending modifiers Q5 (Service furnished by a substitute physician under a reciprocal billing arrangement) and Q6 (Service furnished by a locum tenens physician) only when appropriate. Read on to discover the truth behind these five common myths: Myth #1: A locum tenens or reciprocal billing physician must provide services consecutively for 60 days in order to...

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