© 2021 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Published Date:12/07/2020
Printed Date: 9/22/2015
URL: http://palmgba.com/marlowe/redesign6/article.html
Answer No, it is not appropriate to bill Locum Tenens (now referred to as Payment Under Reciprocal Billing Arrangements) for longer than 60 days, even if a different substitute physician is providing the service. Group practices may bill for a temporary replacement under the exiting physician’s NPI for up to 60 days. This information is available on the CMS website (PDF, 1.63 MB) in Publication 100-04, Chapter 1, Section 30.2.10 and 11. Exception A physician or physical therapist called to active duty in the Armed Forces may bill for services furnished under a reciprocal billing arrangement for longer than the 60-day limit providing all other requirements are met.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 12/07/2020