Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 1151 Date: November 16, 2012

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1 nul ysem ub One-Time Noificion Depmen of elh & umn evices (D) enes fo edice & edicid evices () Tnsmil 1151 De: Novembe 16, 2012 hnge eques 8124 UBJT: Use of Q6 odifie fo Locum Tenens by oviding efoming ovide N - nlysis only. UY O NG: Locum enens policy ses h hysicins my ein subsiue physicins o ke ove hei pofessionl pcices when he egul physicins e bsen fo esons such s illness, pegnncy, vcion o coninuing medicl educion, nd fo he egul physicin o bill nd eceive pymen fo he subsiue physicin s sevices s hough he pefomed hem himself. These subsiue physicins e genelly clled locum enens physicins. ubsiue sevices e indiced wih he Q6 modifie. The locum enens physicin is no llowed o subsiue fo moe hn 60 dys, which cuenly cn only be vlided hough medicl ecod eview; he locum enens physicin does no ppe on clims nd is no equied o be fomlly enolled in edice. ofessionl pcices my lso bill locum enens fo egul physicins who hve lef he pcice wih no inenion of euning. TV DT: pil 1, 2013 LNTTON DT: pil 1, 2013 Disclime fo mnul chnges only: The evision de nd nsmil numbe pply only o ed ilicized meil. ny ohe meil ws peviously published nd emins unchnged. oweve, if his evision conins ble of conens, you will eceive he new/evised infomion only, nd no he enie ble of conens.. NG N NUL NTUTON: (N/ if mnul is no upded) =VD, N=NW, D=DLTD-Only One e ow. /N/D T / TON / UBTON / TTL N/. UNDNG: o iscl nemediies (s), egionl ome elh nemediies (s) nd/o ies: No ddiionl funding will be povided by ; oncos civiies e o be cied ou wih hei opeing budges. o edice dminisive oncos (s): The edice dminisive conco is heeby dvised h his consiues echnicl diecion s defined in you conc. does no consue his s chnge o he semen of Wok. The conco is no obliged o incu coss in excess of he mouns lloed in you conc unless nd unil specificlly uhoized by he oncing Office. f he conco consides nyhing povided, s descibed bove, o be ouside he cuen scope of wok, he conco shll wihhold pefomnce on he p(s) in quesion nd immediely noify he oncing Office, in wiing o by e-mil, nd eques foml diecions egding coninued pefomnce equiemens.

2 V. TTNT: Business equiemens *Unless ohewise specified, he effecive de is he de of sevice.

3 chmen - One-Time Noificion ub Tnsmil: 1151 De: Novembe 16, 2012 hnge eques: 8124 UBJT: Use of Q6 modifie fo Locum enens by poviding pefoming povide N - nlysis only TV DT: pil 1, 2013 LNTTON DT: pil 1, GNL NOTON. Bckgound: Locum enens policy ses h hysicins my ein subsiue physicins o ke ove hei pofessionl pcices when he egul physicins e bsen fo esons such s illness, pegnncy, vcion o coninuing medicl educion, nd fo he egul physicin o bill nd eceive pymen fo he subsiue physicin s sevices s hough he pefomed hem himself These subsiue physicins e genelly clled locum enens physicins. ubsiue sevices e indiced wih he Q6 modifie. The locum enens physicin is no llowed o subsiue fo moe hn 60 dys, which cuenly cn only be vlided hough medicl ecod eview; he locum enens physicin does no ppe on clims nd is no equied o be fomlly enolled in edice. ofessionl pcices my lso bill locum enens fo egul physicins who hve lef he pcice wih no inenion of euning. B. olicy: Duing ny cicumsnce when he locum enens physicin is billing unde he N of he egul physicin he locum enens physicin s N shll lso be on submied clims o llow nspency ino he ideniies of hese physicins. This is suoy equiemen unde secion 1842: he clim fom submied o he cie fo such sevices includes he second physicin s unique idenifie.. BUN QUNT TBL Use "hll" o denoe mndoy equiemen. Numbe equiemen esponsibiliy /B D hed- ysem inines V W Ohe The minine shll picipe in up o 4 confeence clls wih in ode o idenify soluion fo including he bsen physicins N nd he locum enens physicin D on he clim ecod. B X NOT: This is fo nlysis only The minine will povide n opions ppe wih level of effo h would be equied fo ech. X

4 . OVD DUTON TBL Numbe equiemen esponsibiliy /B D Ohe s ovide ducion: oncos shll pos his enie insucion, o diec link o his insucion, on hei Web sies nd include infomion bou i in lissev messge wihin 1 week of he elese of his insucion. n ddiion, he enie insucion mus be included in he conco s nex egully scheduled bullein. oncos e fee o supplemen i wih loclized infomion h would benefi hei povide communiy in billing nd dminiseing he edice pogm coecly. B V. UOTNG NOTON ecion : ecommendions nd suppoing infomion ssocied wih lised equiemens: Use "hould" o denoe ecommendion. X-ef equiemen Numbe ecommendions o ohe suppoing infomion: N/ ecion B: ll ohe ecommendions nd suppoing infomion: N/ V. ONTT e-mplemenion onc(s): u chle-llison, o ose lloum-bym, o os-mplemenion onc(s): onc you oncing Office's epesenive (O) o onco nge, s pplicble. V. UNDNG ecion : o iscl nemediies (s), egionl ome elh nemediies (s), nd/o ies: No ddiionl funding will be povided by ; oncos civiies e o be cied ou wih hei opeing budges.

5 ecion B: o edice dminisive oncos (s): The edice dminisive onco is heeby dvised h his consiues echnicl diecion s defined in you conc. do no consue his s chnge o he emen of Wok. The conco is no obliged o incu coss in excess of he mouns lloed in you conc unless nd unil specificlly uhoized by he oncing Office. f he conco consides nyhing povided, s descibed bove, o be ouside he cuen scope of wok, he conco shll wihhold pefomnce on he p(s) in quesion nd immediely noify he oncing Office, in wiing o by e-mil, nd eques foml diecions egding coninued pefomnce equiemens.

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