New regions for HPSA bonus payment

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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 short practice-management article covers 2016 updates to Health Professional Shortage Area (HPSA) ZIP code designations and the general ways providers can verify eligibility for a Medicare bonus payment. It also notes related operational considerations for claims and mentions a separate HRSA funding opportunity for practices in rural and underserved areas. The piece is aimed at physicians, practice managers, and billing staff monitoring geographic eligibility and administrative requirements.

Why This Topic Matters

Geographic designations can affect Medicare payment and practice revenue, so this article helps readers understand whether their location may qualify and what administrative steps are mentioned in the context of billing and HRSA resources.

What You Will Learn

  • How HPSA ZIP code changes may affect practice eligibility
  • Ways to check whether a practice location is included in a HPSA-designated area
  • What general claim-related information is mentioned for the bonus payment
  • What related HRSA support program is referenced for eligible practices

Who Should Read This

  • Physicians
  • Practice managers
  • Medical billing staff
  • Revenue cycle teams
  • Rural and underserved care providers

Modifiers Discussed


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