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Don’t Let Locum Billing Make You Loco

When a physician fills in for another physician, avoid becoming denial crazy by following proper billing requirements. Locum tenens is a physician who fills in for another physician for a period of 60 days or less. Here’s what you should know about locum tenens — or what the Medicare Claims Processing Manual, Transmittal 3774, refers […]

The post Don’t Let Locum Billing Make You Loco appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Locum Tenens: using a Medicare Barred MD

Hello,
I have a strange situation and I am not confident in my stance.
Medicare’s regulations are not specific to this situation from everything I have read.

The Locum Tenen (Fee for compensation) Arrangement:

So, my provider was out, brought in this locum and has a valid license.
However, the acting locum "substitute" provider has been barred to re-enroll with Medicare until a much later date.
I know we are not enrolling this provider, but I felt strange about this.

I was concerned about the barred re-enrollment meaning they could not be a substitute for a Medicare Covered Service despite this being filed under my provider’s credentials.

Should we be okay to proceed in billing this service under the locum tenen arrangement?

Am I being paranoid?:o

Thank you for your feedback!
~Melissa, CPC

Medical Billing and Coding Forum

Billing for a locum tenen for a physician who has left our practice

I am getting conflicting information on this from different sources and it’s clear as mud. We recently had a physician leave our multi-specialty group practice abruptly. Can we bill for a locum tenen under this physician who left as long as it’s no longer than the 60 days?

Medical Billing and Coding Forum

Locum Tenens & Place of Service

Hello,
I need guidance in regards to Locum Tenens billing. Here is the the scenario

1) Hospital Base Pathology Group
2) Services are rendered at ABC Hospital. They also have specimens from another hospital (123 Hospital) sent to ABC to be processed.
3) One Pathologist Leaves
4) A Locum Tenens was hired to perform the work for the provider who left however; only for the work that comes from the other hospital (123 Hospital)
5) The Locum does not have hospital privileges at ABC Hospital and that is why specimens were instead shipped to AAA Hospital to be processed.
(Note: The Locum has his personal business at AAA hospital, but does not want this temporary work to be mixed into his business.)

Question:
a) Is this Locum arrangement even valid?
b) Can we use the Pathologist who left add Q6 modifier and bill under AAA Hospital location since that is where it’s being processed?

We have been told to use the ABC hospital location where the group is and Pathologist left from.. But I don’t think this is right. The Locum is not there working at that facility.

I tried finding this on the CMS manuals, but unable to find specific verbiage to support why it shouldn’t be done this way.

Thank you,
GZ

Medical Billing and Coding Forum

Filling Medical Vacancies Through Locum Agencies

Finding locum doctors and nurses to fill temporary or part time positions can often be time consuming, and vacancies may often need to be filled quickly. If you are looking for locum staff to fill positions at a hospital, surgery or similar healthcare practice, then a locum agency which deals specifically with healthcare professionals may be the quickest and simplest way to find new staff.

A locum agency will often have access to a very wide range of healthcare professionals from all grades and specialisms, and it should be easy to find an appropriate candidate in your local area. Many applicants will be looking for temporary or part time positions to fit in around their home responsibilities or other work activities, so you should be able to fill any vacancies quickly and simply. It is often a good idea to look for a large locum agency which will be able to take a lot of the responsibility and work out of finding new staff. There can be a lot of technical details and paperwork to deal with when you are hiring new employees, and checks on qualifications, general health and police clearance amongst others should all be completed.

A good locum agency will be able to take care of these necessities and technicalities for you, and you should be provided with candidates who have been checked thoroughly, are fully qualified and have the correct experience and knowledge to fill the positions that you have advertised. Trying to find new staff members for a number of positions can also be a challenge, and managing a few vacancies at once can be confusing or time consuming. A good locum agency will be able to deal with any number of vacancies that you may have at any given time, which will relieve a lot of pressure and give your more time to spend on more pressing tasks.

If you are really pressed for time, then an experienced locum agency should even be able to give you advice and help you to organise your search. This could be in terms of creating a list of required qualifications and attributes that your candidates should have, or creating a vacancy profile or advertisement. Medical locum agencies which have a large client base and a solid background of extensive experience can help you in many different ways.

Finding an agency should be easy thanks to the internet, and any good medical recruitment agency will have a comprehensive website with a good range of information for you to peruse. You should be able to get a good idea of the kinds of services that they can offer, and most will also have staff on hand for to contact to get more information. Finding a locum agency that can offer a personal service is always a bonus, as this will ensure that your vacancies are advertised in the best possible way. A personal service is also important during the recruitment process, and you should be kept well informed and advised throughout.

For further information regarding http://www.id-medical.com/”> locum agency , please visit our website at http://www.id-medical.com

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Locum Jobs For Medical Professionals

If you are a doctor, nurse, or similar medical professional looking for a new job on a temporary or part time basis, then a locum agency that specialises in placing medical professionals can help you to find the perfect place to work. Using a locum agency is a great way to find out about all the latest job opportunities, and they will also be able to bring a great deal of knowledge and experience to the process. Whether you are looking for a job locally or outside of your surrounding area, using a nationwide locum agency is a good way to get a large range of positions to choose from. Bigger companies will be able to access jobs from a wider range of healthcare providers, both private and national. This is a good way to give yourself more choice and options when you are looking for your next job.

A locum agency may represent both medical professionals searching for jobs, and the providers who have vacancies to fill. This means that they will be able to match up their vacancies and registered clients easily and effectively, and choosing a large locum agency should give you more choice when it comes to finding a job. There are often lots of part time and temporary jobs available across all grades and specialities.

Many healthcare providers will require extra staff at one time or another, to cover absences such as maternity leave, or perhaps simply to supplement a staff shortage in one area of the facility. Locum doctors and nurses and invaluable to provide expertise and patient care during these times, and enable healthcare providers to continue to run smoothly and efficiently. Finding locum contracts can often be tricky, so using a locum agency which specialises in placing healthcare professionals can be a great way to take some of the stress out of job hunting. Finding jobs can also be particularly difficult if you are looking outside of your locality, or plan to combine your new job with relocation at the same time. Medical agencies can be a very effective way to delegate some responsibility and reduce the amount of research that you will need to do.

Finding a medical locum agency should be relatively simple, and it may be a good idea to ask friends and peers within the medical profession for recommendations. Alternatively, you could try a search engine and browse through the top entries that are listed. You should generally look for a large locum agency which has good connections to lots of healthcare providers and practices nationwide. Agency websites can be a good indicator of size, professionalism and efficiency. A well designed website should have lots of information about the types of jobs that can be offered, and you will be able to register your details with the agency to begin your search. If you have any uncertainties or are perhaps entering the jobs market for the first time since gaining qualified status, then a good locum agency will be able to offer support and advice to help you find the most suitable position.

For further information regarding http://www.id-medical.com/”>locum agency , please visit our website at http://www.id-medical.com.

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Locum Tenen for a PA

I need some advice

I help out in my spare time , non paid as a 911 for coding and billing questions for a non profit rural clinic on Hawaii Island.

The Dr at this clinic had a PA as a locum while he was away ( he is the only MD ) . I know about the 60 day rule and modifier Q6.

Can a PA be a locum ? and can someone enlighten me on the Q5 modifier ?

I and the clinic would appreciate any help anyone can give us

Thank you Mahalo
Joyce Jennett CPC

Medical Billing and Coding Forum