July 15, 2005
Override of Automated Health Professional Shortage Area (HRSA) and/or Physician Scarcity Area (PSA) Bonus Payments for Globally Billed Services
As of June 13, 2005, effective for claims with dates of services on or after January 1, 2005, Medicare carriers will accept claims from physicians who are eligible to receive automated HPSA/PSA bonus payments but have billed services globally. If approved, the services will be paid, but no bonus payment will be made. These procedures will change for claims received on or after October 1, 2005. See the reference under "Additional Information."
Additional Information
The Medicare Information for Health
Professional Shortage Areas (HPSAs) and PSAs can be found at the following CMS
Web site:
http://www.cms.hhs.gov/providers/hpsa/
For complete details, please see the
official instruction issued to your carrier regarding this change. That instruction
may be viewed by going to
http://www.cms.hhs.gov/manuals/transmittals/comm_date_dsc.asp
Once at that page, scroll down the CR NUM column on the right looking for CR3827 and click on the link for that file.
For information on claims received by Medicare
on or after October 1, 2005, use this same link and view CR3822. You may also
want to view the Medlearn Matters article for CR3822, which can be found at:
http://www.cms.hhs.gov/MedlearnMattersArticles/downloads/MM3822.pdf
If you have any questions regarding
this issue, please contact your Medicare carrier at their toll-free number,
which is available at:
http://www.cms.hhs.gov/MedlearnProducts/downloads/CallCenterTollNumDirectory.pdf.
