We find ourselves without an OB Providers and for NOW we want to bring in an MD Locum to cover till we hire Permanently. How Do I Bill? What are our options?
Unfortunately, you will not be paid until credentialed with each payer. You cannot bill as a Locum with the Q6 modifier since your physician is gone and not out sick or at a conference, etc.
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They no longer work for us, but we still have a midwife, and need to bring in a locum
From: Don Self [mailto:donself@donself.com] Sent: Friday, July 01, 2016 5:06 AM To: Multiple recipients of list PARTB-L Subject: Re: [partb-l] Locum Issue
You didn't give us enough information. What happened to your previous OB?
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Oh you are right, I stand corrected. I thought that you couldn’t do locums for physicians who left the practice but I just reread the guidelines and you certainly can. I apologize! That’s what I get for answering too fast and not doing my research first! ïŠ
Any help on the below Medicare guideline is very vague, when a provider leaves and we need to hire a locum and we are part of a group practice can we use any provider such as our medical director on the claims? Or does it need to be a provider of that specialty that we bring the locum in for?
Yes, but you can't use another provider from the same group. It has to be a ***temporary*** physician with whom the group has a written contract. Locum tenens can be confusing if you're new to it. Here's a few good sites from CMS and WPS with information. You may want to read these and then post further questions if you're still not understanding.
Kris Cuddy, CPC, CIMC Healthcare Compliance Analyst Compliance Office Michigan State University HealthTeam East Lansing, MI Ofc: 517-355-4547 Fax: 517-353-5292
Comments
Alicia M. Cooper, CPC
Tina Sparke
Don
Don Self & Associates, Inc
305 Senter Ave, Whitehouse, TX 75791
903 871-1172 fax 480-247-5650
donself@donself.com web: www.donself.com
free webinars at www.donself.com
DISCLAIMER: This email should not pose any visual, auditory or sensory defects in the average reader. If you are now or have been dead or stupid in the past, this email will probably not help you. If you know anyone reading this email who is not from earth - you should immediately seek medical attention. If you have been or plan to be an imbecile in the future, please do not read this disclaimer. These warnings are not valid in the state of Hawaii, Alaska or New Hampshire.
From: Don Self [mailto:donself@donself.com]
Sent: Friday, July 01, 2016 5:06 AM
To: Multiple recipients of list PARTB-L
Subject: Re: [partb-l] Locum Issue
You didn't give us enough information. What happened to your previous OB?
Don
Don Self & Associates, Inc
305 Senter Ave, Whitehouse, TX 75791
903 871-1172 fax 480-247-5650
donself@donself.com web: www.donself.com
free webinars at www.donself.com
DISCLAIMER: This email should not pose any visual, auditory or sensory defects in the average reader. If you are now or have been dead or stupid in the past, this email will probably not help you. If you know anyone reading this email who is not from earth - you should immediately seek medical attention. If you have been or plan to be an imbecile in the future, please do not read this disclaimer. These warnings are not valid in the state of Hawaii, Alaska or New Hampshire.
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Erica-
Why are you saying this is not a locum situation?
http://www.wpsmedicare.com/j5macpartb/claims/submission/locum-tenens-reciprocal-billing-qanda.shtml
Thank you,
Bobbi Ranis
.
Thank you,
Bobbi Ranis
.
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c01.pdf section 30.2.11
http://www.wpsmedicare.com/j8macpartb/claims/submission/locum-tenens-reciprocal-billing-qanda.shtml
http://www.wpsmedicare.com/j8macpartb/resources/modifiers/modifier-q6.shtml
Kris
Kris Cuddy, CPC, CIMC
Healthcare Compliance Analyst
Compliance Office
Michigan State University HealthTeam
East Lansing, MI
Ofc: 517-355-4547
Fax: 517-353-5292
.