Highmark Changes Locum Tenens Policy, Effective Aug. 22, 2017

Highmark is updating its locum tenens policy which allows a practitioner to cover for another practitioner when they are absent for reasons of illness, retirement, death, medical leave, vacation, military leave, or continuing medical education.

Effective Aug. 22, 2017, Highmark’s locum tenens service time frames may not exceed 60 consecutive days for Medicare Advantage or commercial networks. In the event that the regular physician is absent for more than 60 days, the locum tenens physician must be credentialed and enrolled as though he or she were joining your practice as a new physician.

Highmark says that locum tenens already in process or those applications received prior to Aug. 22, 2017, will receive the six months of network coverage for commercial lines of business.

Access the Highmark Blue Shield Office Manual online to get more details on the locum tenens policy change.

PAMED members with questions on this issue or other Practice Support concerns can contact PAMED’s Knowledge Center at 855-PAMED4U (855-726-3348) or KnowledgeCenter@pamedsoc.org.

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