Locum Tenens: Learn the Details About Using “Substitute” Providers

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 minutes
Product Description

Current CMS/Medicare Rules for Locum Tenens

Locum tenens is Latin for "one holding a place". Most often, a locum refers to a person who fulfills the duties of another person temporarily. Locums provide organizations with an opportunity to fill up temporary vacant positions or when long-term funding is not available for a particular position.

Knowing what CMS and Medicare's rules are about the use and documentation for locums is as important as knowing what your commercial carrier policies and procedures are. The phrase locum tenens is both a noun and an adjective—understanding the difference is must for compliance.

This session by expert speaker Jill M. Young, CPC, CEDC, CIMC, will discuss how and where to find the current CMS/Medicare rules for locums and provide tips to resolve conflicting information. You also learn how to research policy for commercial carriers and understand the billing nuances for locums.

Session Highlights

  • Who can be a Locums provider?
  • How long can a Locums "substitute"?
  • What documentation is needed when employing a Locums?
  • How to properly bill for a Locums provider?

 Session Agenda

  • Rules from Medicare on Locum Tenens billing
  • Overview of Medicare's Policies
  • Locum Tenens job descriptions and benefits
  • What goes where on a claim form when billing Locums
  • Who is eligible to bill Locum Tenens today
  • Other billing options for substitute providers
  • Get insights on the following:
    • Medlearn: MM5985
    • WPS- Medicare
    • Transmittal 12.08
    • Palmetto GBA
    • NGS - Jurisdiction K
    • WPS - Jurisdiction 8
    • BCBS Alabama
    • Anthem
    • BCBS Texas
    • Premera Blue Cross
    • State Medicaid

Who Should Attend

  • Physicians
  • Office administrators
  • Office managers
  • Billers

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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
More Events By The Speaker

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