Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC requested that we develop a method to ensure payments are received automatically for all physicians that would qualify for the HPSA bonus payment. One commenter suggested that we change the HPSA bonus payment program to include nonphysicians and work with the Congress to allow all persons who directly bill under Part B to be eligible for the 10 percent bonus for working in a designated HPSA. Response: We appreciate the comments in support of our efforts to ensure all physicians furnishing services to Medicare beneficiaries in an area that is designated as a geographic HPSA on December 31 of the prior year receive the HPSA bonus payment. As a result of refinements in our systems, we expect that more areas that are eligible for the bonus payment will be on the list of zip codes eligible for automatic payment of the HPSA bonus, thereby reducing the number of physicians who need to use the modifier. However, we acknowledge that some physicians may not be aware of the need to use the modifier if they are furnishing services in a geographic HPSA that was designated after the list of eligible zip codes was created but prior to December 31. We will continue to utilize our provider education resources to increase awareness of the appropriate 160
CMS-1403-FC application of the AQ modifier. We will also continue to refine our systems to include as many areas as possible to the list of zip codes that receive automatic HPSA bonus payments. We recognize that there can be shortages of all types of healthcare practitioners and we indeed appreciate the value of these nonphysicians. However, section 1833(m) of the Act provides for the payment of an additional amount only to physicians and a change would require a statutory revision. After careful consideration of all of the comments, we are adopting our proposal to add §414.67(d) with minor revisions to clarify that physicians who furnish services in areas that are designated as geographic HPSAs as of December 31 of the prior year but not included on the list of zip codes for automated HPSA bonus payments should use the AQ modifier to receive the HPSA bonus payment. 161
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<strong>CMS</strong>-1403-FC<br />
application of the AQ modifier. We will also continue to<br />
refine our systems to include as many areas as possible to<br />
the list of zip codes that receive automatic HPSA bonus<br />
payments.<br />
We recognize that there can be shortages of all types<br />
of healthcare practitioners and we indeed appreciate the<br />
value of these nonphysicians. However, section 1833(m) of<br />
the Act provides for the payment of an additional amount<br />
only to physicians and a change would require a statutory<br />
revision.<br />
After careful consideration of all of the comments, we<br />
are adopting our proposal to add §414.67(d) with minor<br />
revisions to clarify that physicians who furnish services<br />
in areas that are designated as geographic HPSAs as of<br />
December 31 of the prior year but not included on the list<br />
of zip codes for automated HPSA bonus payments should use<br />
the AQ modifier to receive the HPSA bonus payment.<br />
161
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