Medical Billing Forum

General Category => General Questions => Topic started by: Georgia Girl on May 12, 2015, 09:33:51 AM

Title: Loco Tenum Provider Billing
Post by: Georgia Girl on May 12, 2015, 09:33:51 AM
I have a doctor who is about to go out on maternity leave.  She has another doctor who will be covering her practice, seeing her patients in her office.  Seems to me that there are specific modifiers to put on the claims to indicate that the work is being done by a 'covering doctor' - is that right?  Also, does she bill out under her name or the loco tenum Provider's name?   Any and all input appreciated!
Title: Re: Loco Tenum Provider Billing
Post by: kristin on May 12, 2015, 05:59:52 PM
There are numerous helpful articles about Locum Tenens billing that can be found via Google, here are a few:

http://www.wpsmedicare.com/j5macpartb/claims/submission/locum-tenens-reciprocal-billing-qanda.shtml

http://www.justcoding.com/265131/reciprocal-billinglocum-tenens-what-a-coder-needs-to-know

http://www.locumtenens.com/media/48747/billingforlt_-_general.pdf

Yes, you need a modifier, which is Q6, and yes, the regular providers NPI goes on the claim.
Title: Re: Loco Tenum Provider Billing
Post by: Georgia Girl on May 13, 2015, 08:29:52 AM
Thanks, Kristin, for the very helpful information and your quick response!   :D
Title: Re: Loco Tenum Provider Billing
Post by: kristin on May 13, 2015, 09:46:25 AM
You are most welcome!