2017. If you need specialty care, your primary care dentist will give you a referral. Some of the state proposals specify certain conditions, such as biologically based mental illnesses, while others would require all mental health conditions be treated the same as physical illnesses.We do not support government-mandated benefits; however, we do support appropriate care and treatment for mental illness. Mental Health ParityIn 1996, mental health advocates were successful in the passage of federal legislation that requires employers who provide mental health coverage to apply the same annual and lifetime dollar limits to the mental health benefits as are applied to benefits for physical illness. Locum physician services can be billed under the NPI of the doctor absent, with the Q6 modifier (service provided by a locum physician) added to each CPT code on the claim. Locum Tenens | Blue Cross and Blue Shield of Texas - BCBSTX noun. Requests for coverage of an alternative therapy are reviewed on a case-by-case basis by the local Cigna HealthCare physician-medical director to determine if the treatment has been proven scientifically to be effective (for example, supported by peer review literature) and whether its covered under the members benefit plan. Medicares requirement is that an on-staff physician can bill and receive payment (when assignment is accepted) for a substitute physicians services as though the on-staff physician performed them. We will be billing on a HCFA 1500 form. One of the biggest concerns with mandated benefits is that they increase the cost of health care coverage. in the opening of your article, you basically stated, a locum tenens does not need to be credentialed with Medicare nor the same specialty as the physician for whom they are to provide substitution. As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. (This requirement became effective 1/1/98.)
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