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CMS Transmittals Roundup
  • Payment Policy Changes For Reciprocal Billing And Fee-For-Time Compensation Arrangements
  • Lacy Gaskins
Payment Policy Changes For Reciprocal Billing And Fee-For-Time Compensation Arrangements

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.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3774CP.pdf

Subject: Changes to the Payment Policies for Reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly referred to as Locum Tenens Arrangements)

Number: 3774

Title: 10090

Release Date: May 12, 2017

Effective Date: June 13, 2017

Implementation Date: June 13, 2017

Special Transmittal Notes: N/A

 

  • Lacy Gaskins

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