Locations added to primary care, mental health HPSAs

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains that CMS issued revised primary care and mental health Health Professional Shortage Area (HPSA) lists after additional ZIP codes were added. It is relevant to practices and billing staff tracking location-based bonus payment eligibility, HPSA list updates, and the general CMS guidance surrounding these designations.

Why This Topic Matters

Practices in affected ZIP codes may need to verify whether their location now appears on the updated CMS HPSA lists and understand the broader impact on bonus payment processing and related claim handling.

What You Will Learn

  • What CMS revised in the primary care and mental health HPSA lists
  • Why updated ZIP code designations matter for bonus payment eligibility
  • How HPSA list updates affect practices and billing teams
  • Where to find the revised CMS HPSA lists

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Healthcare administrators
  • Physician practices

Modifiers Discussed


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