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Bonus Payments Limited to Professional Services

 

HPSA and PSA bonus payments are limited to professional services only.

Eligible Providers

Only the physician specialties listed below are eligible to receive the HPSA bonus payment for services that are rendered in a HPSA:

  • Doctors of medicine
  • Doctors of osteopathic medicine
  • Doctors of dental surgery
  • Doctors of chiropractic medicine
  • Doctors of podiatric medicine
  • Doctors of optometry

Prepayment Validation ( New York Providers Only)

When possible, Medicare will perform a prepayment validation of HPSA/PSA eligibility. If the place of service address on the claim is found to be outside the designated HPSA/PSA areas, the HPSA/PSA modifier will be changed to a CC, and a message will appear on the provider’s remittance. The HPSA/PSA bonus will not be paid on those claims found to be outside the eligible HPSA/PSA areas defined by the Centers for Medicare & Medicaid Services.

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