HealthCare News

Locum Tenens Provider Billing Reminder

Issue: #385 DEC2015

Topic: Coding/Billing


Blue Cross Blue Shield of North Dakota (BCBSND) defines a locum tenens as a Medical Doctor (MD) or Doctor of Osteopathy (DO) who substitutes for another physician for a period of less than 60 days. The license issued by the Board of Medical Examiners identifies the provider as a locum tenens and the specific locations in which services will be performed.

A provider may only use his/her National Provider Indentifier (NPI) to bill for another provider’s services using the Q6 modifier when the substituting provider is an MD or DO and is licensed as a locum tenens. If a provider intends to work at a specific facility for longer than 60 days, credentialing must be completed before 60 days have passed. Providers already credentialed by BCBSND need only complete a New Location/Business Relationship Form at http://bit.ly/1MC7cqM.

Claims submitted for services rendered by a provider who is NOT an MD or DO may be denied for improper usage of the Q6 modifier.