Palmetto GBA - JJ Part B - 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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Published Date:06/03/2019

Printed Date: 9/22/2015

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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)?

Answer:
No, it is not appropriate to bill Locum Tenens 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, 1.6 MB) in Publication 100-04, Chapter 1, Section 30.2.11(C).

Last Updated: 06/03/2019