Is your practice using locum tenens to fill in or substitute for a physician’s absence due to illness, pregnancy, vacation or continuing education? Are you considering a locum tenens arrangement to temporarily replace a physician who has left the practice? If so, it is important that you understand the rules and regulations for billing Medicare for these services.

Locum tenens is a Latin phrase that means “to hold the place of, to substitute for.” For Medicare purposes, a “regular doctor” is the physician normally scheduled to see his/her patients or a physician who has left a practice. The locum tenens or “substitute physician” is the doctor who fills in for the “regular doctor.”

The Centers for Medicare & Medicaid Services (CMS) have specific guidelines to bill for the services of locum tenens physicians. CMS criteria that must be met in order to use locum tenens billing include:

A locum tenens...

You do not currently have access to this content.