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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


  • A provider left our group. We have billed Locum Tenens for 60 days. If we use a different substitute physician every 60 days, can we continue to bill Locum Tenens under the exiting physician's National Provider Identifier (NPI)?
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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.

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Last Updated: 12/07/2020

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