Jurisdiction J Part B - Fee-For-Service Time Compensation (Previously Known as Locum Tenens) (2024)

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Jurisdiction J Part B - Fee-For-Service Time Compensation (Previously Known as Locum Tenens) (2024)

FAQs

What is the locum tenens rule? ›

Locum tenens is the practice for physicians to retain substitute physicians to take over their professional practices when the regular physicians are absent for reasons such as illness, pregnancy, vacation, or continuing medical education, and for the regular physician to bill and receive payment for the substitute ...

What is the meaning of locum tenens modifier? ›

Locum tenens is a Latin phrase that means “(one) holding a place.” In the medical field, locum tenens are contracted physicians who substitute for a physician who has left the practice, or who is temporarily unavailable (e.g., on medical leave, on vacation, etc.).

What is a locum tenens and reciprocal billing arrangement? ›

Q5 Definition: Services furnished by a substitute physician under a reciprocal billing arrangement. Locum tenens' are substitute physicians who assume professional practices in the absence of a regular physician for reasons such as illness, pregnancy, vacation, or continuing medical education.

What is the Q6 modifier for locum tenens? ›

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.

What is the meaning of locum tenens coverage? ›

A locum tenens malpractice policy provides coverage to the physician for damages suffered by a patient resulting from professional healthcare service. Policies generally contain very specific definitions for limitations or exclusions of coverage.

What is the highest paid locum tenens specialty? ›

How much do loc*ms doctors make (on average, by hour) by specialization?
  • Anesthesiology: $292/hour.
  • Cardiology: $272/hour.
  • Emergency medicine: $258/hour.
  • Family medicine: $140/hour.
  • Gastroenterology: $367/hour.
  • Hospitalist: $175/hour.
  • Hospitalist, internal medicine: $180/hour.
  • Internal medicine: $173/hour.

How do you bill under locum tenens? ›

You must also use modifier Q6 (“services furnished by a locum tenens physician”) in box 24D of the CMS-1500 form for each line item service on the claim to indicate the service was provided by a locum. You can bill for services that were provided by a hospital outpatient- based clinic using the UB-04 type of bill.

What is the locum tenens clause? ›

In a nutshell, the non-compete clause in locum tenens contracts doesn't allow you to work with the hospital through another locum company or directly for a certain period of time. Here, you have to make sure the term is no longer than 2 years after the official end of the agreement.

What is the difference between travel and locum tenens? ›

Travel vs. Locum Tenens. First, an important distinction: within the healthcare industry, “travel” is generally associated with nurses, while “locum tenens” is most often associated with physicians and advanced practice providers (nurse practitioners, physician assistants, nurse anesthetists and nurse midwives).

How long can you use a locum tenens? ›

As long as there is a break after the initial 60 days of locum tenens service, you can use the same locum tenens to provide services again.

Why is it called locum tenens? ›

To go by the literal locum tenens definition, translated from Latin, it means "to hold the place of, to substitute for." Locum tenens providers work at healthcare facilities on a temporary basis to fill gaps in care or occupy vacant positions until a full-time provider can be found.

What is the difference between per diem and locum tenens? ›

What's the Difference Between Locum Tenens and Per Diem? Locum tenens positions are a substitute or temporary role for clinicians, typically in a full-time capacity. Per diem is basically locum tenens without a set schedule.

What is the difference between permanent and locum tenens? ›

Unlike permanent positions in which physicians have standard full-time hours, locum tenens physicians have the freedom to choose their own work schedules and where they want to work.

Does modifier Q6 affect reimbursem*nt? ›

The Q6 modifier is attached to medical claims to signify this substitution, ensuring that the billing process acknowledges the temporary change in healthcare service provider without affecting the continuity of care or the reimbursem*nt process.

Do locum tenens need to be credentialed? ›

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. That's why physicians, physician assistants, and nurse practitioners must undergo a thorough credentialing process prior to taking on a locum tenens assignment.

How does loc*ms Tenens work? ›

Very simply, locum tenens work consists of a physician working temporarily in another practice, not his or her own. That practice may be in the physician's hometown or even in another state.

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