NOTE: Each Locum Tenens practice must be no more than ninety - health state tn 2025

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The CMS billing guidelines for locum tenens physicians do not apply to nurse practitioners and physician assistants. The directions for billing locum tenens NP and PA services differ from state to state. Contact your local Medicare Administrative Contractor to find out if using modifier Q6 is appropriate.
Locum tenens occurs when the substitute physician covers for the regular physician during absences not to exceed a period of 90 continuous days.
Section 0880-02-. 14 - SPECIALLY REGULATED AREAS AND ASPECTS OF MEDICAL PRACTICE (1) Policy Statement - The scope of practice of physicians in Tennessee is broadly defined and includes many aspects which if not particularly regulated could lead to serious ramifications for the consuming public.
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The answer is yes. State and federal laws require hospitals to have a process in place to screen all applicants and assess their professional abilities. Thats why physicians, physician assistants, and nurse practitioners must undergo a thorough credentialing process prior to taking on a locum tenens assignment.
If both you and the NPP have a face-to-face encounter with the patient, the service can be billed under your provider number and is reimbursed at 100 percent of the physician fee schedule. How to Bill for Services Performed by Nonphysician Practitioners - AAFP aafp.org pubs fpm issues aafp.org pubs fpm issues
A record of the locum tenens physicians NPI must be on file with the carrier. The locum tenens physicians services must be billed using the modifier Q6 to show that a locum tenens physician provided care, and a record of the services provided to your patients by the locum tenens physician must be kept on file. Quick tips for billing locum tenens doctors | I.M. Matters from ACP immattersacp.org archives 2010/06 tips immattersacp.org archives 2010/06 tips
11 of the CMS Internet-only Manual in Publication 100-04, Chapter 1, General Billing Requirements, state that a patients regular physician may bill for services furnished by a substitute physician, either on a reciprocal or locum tenens basis, when the regular physician is unavailable to provide the services. Locum Tenens - CMS Manual System cms.gov transmittals downloads cms.gov transmittals downloads
The Q6 modifier is a procedure code modifier used on medical claims for the billing of services for a locum tenens physician. It is intended to be used when a physician is away for an extended period of time and arranges for a locum tenens or substitute physician to provide services to their patients in their place. Q6 Modifier | Definitive Healthcare definitivehc.com resources glossary q6 definitivehc.com resources glossary q6

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