Working as a locum can be an excellent opportunity to gain experience in various practices with various patients, systems, and education. Traditionally, locum tenens meant "to hold the place of." But for doctors, nurses, and physician assistants who practice this way, and for their patients, locum tenens means so much more.
The problem with patients arises while billing for them as it can sometimes feel confusing for users how to bill locum tenens physicians for their services. In this article, we provide you with the information you need to use the billing process for locum tenens physicians.
This article just gives a brief introduction to billing tips. For a more detailed explanation, you can connect with ProLocums, the trusted healthcare staffing agency, and get all your queries or doubts solved.
Billing for locum tenens providers is not as simple as billing for regular employees because the rule governing reimbursement is Medicare specific and only applies to Medicare.
Medicaid and commercial payers may have adopted Medicare's rule. Still, if not, you must confirm with the payer that their rules govern locum tenens billing, and if not, you must understand their specific rules.
CMS policy recommends that locum tenens physicians provide services to Medicare patients for 60 consecutive days during their duties. The only exception to this rule is if the regular physician is called to active military duty.
Suppose you utilize a locum physician for much less than 60 days. In that case, the locum's treatments can be invoiced using the missing physician's NPI number with the Q6 qualifier to indicate that they're a locum tenens physician.
Using the missing physician's NPI number allows the absent physician to charge Medicare as though they provided the therapy personally; however, this time cannot exceed 60 calendar days.
An individual serving as a locum tenens covers an absent physician for at least 60 consecutive days. A Locum Tenens physician must be credentialed separately if the assignment exceeds 60 days. Rather than being paid for individual services, locum tenens physicians are paid on a per diem or fee-for-service basis. Medicare beneficiaries must seek care from an absent credentialed physician who is physically unavailable to see patients.
The locum tenens doctor can be utilized for 60 days with the Q6 modifier if the regular physician returns for a brief period, even one day. You can ensure long-term coverage this way.
Generally, Locum Tenens physicians are familiar with the documentation requirements for reimbursement of services provided under the regular physician's NPI. Locum Tenens physicians must enter a Q6 modifier for their services in box 24D of the CMS-1500 claim form. You must enter the original physician's NPI in box 24J, which is the rendering provider's ID.
Locum tenens nurse practitioners and other non-physician providers are not subject to the same billing guidelines as locum tenens physicians. In the case of APP contracts covering the absence of a physician, contact your local Medicare administrative contractor for details regarding billing and the Q6 modifier.
The best way to make this process easier is to work with a trusted healthcare staffing agency like ProLocums. A right partner like ProLocums will provide you with a credentialing team that will know about your enrollment process and helps your staff with billing on time.
Beginning as a locum doctor can be a daunting prospect. When transitioning from a permanent position to one that is more temporary, it can be overwhelming. There are more documents to complete, more planning to do, and more preparation to complete than anyone ever realizes. Whether you are straight out of residency or an experienced physician trying out locum jobs in USA for your first time, taking steps to get organized and prepare ahead of time will save you loads of hassle down the road. Think of it like preparing for a large move, but now you will be doing this multiple times per year. The good news is, once you have the essential elements figured out, it will be smooth sailing for your subsequent assignments. Here are six essential things every locum must do before you take on your first assignment.
Before applying and finding locum jobs, organize all your professional documents. Digitize and update your medical license, DEA registration, certifications, CV, malpractice history, immunization records, and references. Store them in a cloud system like Google Drive or Dropbox, and label files with expiration dates for easy tracking. For example, save your license as "John_Doe_Medical_License_2025_12_15" to monitor renewals. Keep your CV updated with every assignment, noting duties and systems used, which will help when applying for future roles.
Each state has its own licensing requirements, and locums may need licenses in multiple states. Start early, as processing can take 60-120 days. Consider the Interstate Medical Licensure Compact (IMLC) to simplify licensing in compact states, but still be aware of state-specific requirements, fees, and renewals. Also, ensure you have the necessary DEA registrations for each state where you'll prescribe controlled substances. Keeping track of paperwork and renewals will make the process easier.
Malpractice insurance is often provided by locum agencies, but it's important to understand the coverage details. Most agencies offer $1-3 million per claim, but check if it's occurrence-based or claims-made. Occurrence coverage protects you after the policy ends, while claims-made only covers you during the policy period. If you’re on multiple short-term assignments, you may need "tail coverage." Additionally, as an independent contractor, you'll need your own health, disability, and possibly life insurance, as these are not usually provided.
Finding locum jobs is often about networking. Start 3-6 months early by joining local medical societies, attending conferences, and connecting with fellow locums. Consider joining locum groups for support and job leads. Building relationships with specialized recruiters is key—they can match you with better opportunities through word-of-mouth and personal connections.
Never accept a locum assignment without researching first. Check the facility’s website, learn about the patient population, and understand their mission and culture. Get details on the EHR system, patient volume, and whether you'll have support staff. Ask about housing arrangements and nearby areas to reduce stress and avoid surprises.
Negotiating a locum contract involves more than just pay – everything from the schedule to housing and scope of practice is up for discussion. To succeed, research market rates for your specialty and know your worth. Use flexibility, like working holidays or tough shifts, as leverage for better pay. Pay close attention to termination clauses, payment schedules, and buyout terms. Ensure all agreements, including non-monetary terms like housing and meal allowances, are clearly outlined in writing.
Locum jobs in USA offers flexibility and diverse clinical experience, but success demands preparation. Start planning at least six months before you begin, especially if you're newly out of residency. Thriving in locum roles requires embracing uncertainty while staying organized. Each assignment differs, but mastering key fundamentals ensures not just survival, but enjoyment in the locum lifestyle. The goal is to build a sustainable career that offers the freedom and variety you sought from locum work.
10/24/2025
Summary: Locum healthcare recruitment is changing fast. From digital platforms to telemedicine and flexible staffing, discover the future of healthcare staffing agency USA solutions and how temporary physician jobs USA are reshaping the industry.
Locum healthcare recruitment has always been an essential part of filling workforce gaps in hospitals and clinics. With rising demand for flexible staffing, the way doctors, nurses, and healthcare organizations connect is changing fast. In the USA, this shift is especially visible in the rise of temporary physician jobs and the role of staffing agencies that help both sides manage the complexity of healthcare delivery.
The healthcare system in the US is under pressure. An influx of patients, fewer physicians in certain fields, and increasing burnout means facilities can't always rely on permanent staff. Locum work provides a step into a more flexible workforce—inducting qualified professionals to ensure care isn’t interrupted when there isn’t a permanent physician.
For physicians, locum assignments can also be advantageous: flexibility, exposure to different clinical environments or new thinkers on clinical problems, and the possibility of more pay than through a permanent contract. For facilities, it is a way of remaining fully employed without a long recruitment process.
1. Digital-first recruitment
Healthcare staffing agency USA operations are moving online at scale. Agencies are investing in platforms that match doctors with openings in real time, cutting weeks of back-and-forth emails. Mobile apps now allow candidates to manage profiles, verify credentials, and accept jobs with a few clicks.
2. Rising demand for specialists
Temporary physician jobs in the USA are not limited to generalists anymore. There is growing demand for specialists such as anesthesiologists, psychiatrists, and emergency medicine doctors. As population health needs shift, agencies are building talent pools to respond faster to niche requirements.
3. Credentialing automation
Credential verification used to be a slow, manual process. Now, agencies are using automated tools to speed up licensing, background checks, and malpractice history review. This means hospitals can onboard locum physicians in days instead of months.
4. Telemedicine integration
Locum work is no longer restricted to physical presence. Telehealth appointments are creating a new branch of locum jobs where doctors can serve patients remotely. This widens the pool of available talent and helps facilities in underserved areas access skilled professionals.
5. Focus on work-life balance
Physicians choosing locum roles often do so for flexibility. Agencies are responding by offering more short-term assignments, weekend shifts, and even international opportunities. This trend reflects a wider industry push toward respecting healthcare workers’ need for balance.
Even with progress, locum recruitment is not without problems.
1. Smarter data use
Agencies are using predictive analytics to anticipate staffing shortages before they occur. This helps hospitals plan locum use strategically instead of reactively.
2. Partnership models
Rather than one-off placements, some healthcare staffing agency USA companies are building long-term partnerships with hospital networks. This reduces cost and ensures a steady flow of candidates.
3. Flexible payment systems
Daily or weekly pay options are becoming more common, making locum work financially attractive and improving retention.
4. Building loyalty
Temporary physician jobs in the USA are now often paired with perks like travel support, housing, or continuing medical education credits for more sustainability.
Locum healthcare recruitment in the USA is moving toward a hybrid model. Technology like ProLocums will streamline matching and credentialing, while human recruiters focus on relationship building and ensuring cultural fit.
For healthcare facilities, the goal will not just be to fill empty slots but to build a flexible workforce strategy. For physicians, the choice will increasingly be between traditional permanent roles and dynamic locum careers that offer freedom and variety.
The demand for locum healthcare professionals is here to stay. With smarter tools, better support systems, and stronger partnerships, the industry is heading toward a future where temporary staffing is not a stopgap but a strategic pillar of care delivery. Both healthcare staffing agency USA providers and physicians looking for temporary physician jobs USA stand to benefit from this evolution, provided they adapt to the changing landscape.
09/22/2025
Locum recruitment is more important than ever because the need for flexible healthcare staffing solutions has grown so much in the last several years. As more and more temporary physician jobs become available, healthcare staffing organizations are having to deal with a number of new problems. Finding the right applicants and dealing with complicated rules might make hiring locum doctors more difficult than it looks. Do you want to know what these problems are and how to solve them in 2025? Read on to learn about the seven biggest problems in locum recruitment and how healthcare companies may overcome them.
Challenges: One of the hardest things for healthcare staffing agencies to do is find the right team members to fill temporary physician jobs. There aren't enough qualified professionals available to meet the needs because the demand for healthcare services is expanding, especially in rural and undeveloped areas.
Solution: To fix this, healthcare staffing agencies should look for applicants from other countries and use specialized recruitment platforms to find them. Using social media and digital channels can help you find more possible locum doctors.
Challenges: Healthcare staffing agencies have a difficult time promptly hiring locum physicians because each state has its own specific licenses and credentialing rules. The paperwork and complications that come with this process might make it take longer to fill temporary medical jobs. Sometimes, doctors have to wait months before they can start their assignments.
Solution: One of the greatest ways to solve this problem is to make the credentialing process easier by buying equipment that can keep track of all the paperwork and applications in one location. Using cloud-based software or databases to keep track of licenses and credentials can cut down on how long it takes to get things done by a lot.
Challenges: Healthcare businesses are competing more for locum physicians since there is a high demand for them. This makes it difficult to find the best candidates. Agencies who don't offer competitive packages can lose good doctors.
Solution: Agencies should pay their workers well, including travel expenses, housing allowances, and flexible hours. It can also be useful to talk about the perks of locum tenens, such as a good work-life balance and the chance to travel.
Challenges: Locum physicians generally work on short-term contracts, which means they leave more often and healthcare facilities may not be stable, which can affect patient care.
Solution: To cut down on turnover, healthcare staffing companies and organizations can build good connections with locum doctors. Consistent work, fair pay, chances to move up in your career, and a supportive work environment with clear expectations can all help keep employees and make them happier at work.
Problem: Many healthcare staffing services only work in certain areas, which might make it hard to meet the demands of facilities in places that don't have enough staff. It is especially harder to find locum doctors in rural or bare areas because doctors are less likely to want to work there.
Solution: Agencies can reach more people by entering overseas marketplaces and giving doctors incentives to work in locations that don't have enough doctors. Temporary doctors may be more interested in remote assignments if they are offered help with moving, more pay for jobs that are hard to fill, and a good work environment.
Challenges: Ensuring that locum physicians’ skills align with the facility’s needs can be challenging. This mismatch may lead to dissatisfaction for both the healthcare provider and the physician.
Solution: Agencies should carefully assess both the client’s needs and the physician’s skills. A thorough intake process, including skill assessments and job expectation discussions, ensures a better match.
Challenges: Urgent staffing needs can create last-minute challenges for agencies, particularly when there’s little time to recruit qualified locum physicians.
Solution: Agencies should maintain a pool of "on-call" locum physicians who can fill urgent shifts on short notice, ensuring preparedness for emergency staffing needs.
Locum recruitment in 2025 presents unique challenges, but with the right strategies, healthcare staffing agencies like ProLocums can overcome them. By addressing the physician shortage, streamlining credentialing, offering competitive compensation, focusing on retention, providing incentives for rural placements, ensuring skill matching, and managing urgent requests, agencies can ensure that temporary physician jobs are filled quickly and effectively.
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