tci Part B Insider - 2019 Issue Q3

Reader Question: See the Q6 Guidance on NPPs’ Services

Question: We’d like to report a nurse practitioner’s (NP) services to Medicare with a locum tenens modifier while one of our NPs is on vacation this summer. Can we do that? Florida 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)...

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