The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) use reciprocal billing and fee-for-time compensation arrangements to manage claims for outpatient physical therapy services furnished by physical therapists in a health professional shortage area (HPSA), a medically underserved area (MUA), or in a rural area, according to section 16006 of the 21st Century Cures Act. Contractors shall implement the payment policies described in IOM Pub. 100-4, chapter 1using a Q5 modifier as appropriate.
Subject: Changes to the Payment Policies for Reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly referred to as Locum Tenens Arrangements)
Release Date: May 12, 2017
Effective Date: June 13, 2017
Implementation Date: June 13, 2017
Special Transmittal Notes: N/A