Substitute Physicians – formerly Locums Tenens and the CMS 60-day rule

As flu season approaches, physician practices may find themselves navigating planned leaves of absence, unexpected illnesses, or other staffing interruptions. But when a physician or physical therapist needs to be away, does your practice understand Medicare’s rules for bringing in a substitute provider?

Formerly referred to as locum tenens, Medicare’s substitute physician and physical therapist billing arrangements can help practices maintain continuity of patient care while protecting revenue during a provider’s absence.

However, the 60-day limitation is one of the most misunderstood aspects of these arrangements, and getting it wrong can expose practices to claim denials, overpayments, and costly recoupments.

In this episode of CodeCast, Terry breaks down Medicare’s substitute provider billing rules.

Don’t let a temporary staffing solution turn into a permanent compliance headache. Tune in to this episode of CodeCast!

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