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CMS Manual System
CMS Manual System Department of Health & Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 3774 Date: May 12, 2017 Change Request 10090 SUBJECT: Changes to the Payment Policies for reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly referred to as Locum Tenens Arrangements) I. SUMMARY OF CHANGES: The purpose of this CR is to 1. Implement section 16006 of the 21st Century Cures Act, which allows 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 to be billed under reciprocal billing and fee-for-time compensation arrangements in the same manner as physicians bill effective no later than June 13, 2017.
in Private Practice, for reciprocal billing arrangements, when submitted with the Q5 modifier. X 10090.2.1 Contractors shall accept claims from Physical Therapists that are reported with a Q5 modifier whose descriptor references only physicians. When the descriptor is updated to include physical therapists and
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