Health Professional Shortage Area

What percent is the bonus payment CMS will provide in a Health Professional Shortage Areas (HPSA) bonus area?

• 5 percent

• 10 percent

• 50 percent

• There is no bonus payment

The Health Resources and Services Administration (HRSA) designates three types of Health Professional Shortage Areas (HPSA), which does CMS provide a HPSA bonus payment for?

• Population

• Geographic

• Facility

• All of these

CMS recognizes three types of geographic-based HPSAs; primary medical care, dental and mental health. Which ones will CMS allow a bonus payment?

• Primary Medical Care and Dental

• Dental and Mental Health

• Primary Medical Care and Mental Health

• All of these

CMS will provide an incentive payment to physicians who:

• Have an office in a HPSA area

• Render services in a HPSA area

• Have a beneficiary who lives in a HPSA area

The HPSA bonus payment is based on the amount paid, not the approved amount.

• True

• False

The AQ modifier is required on claims where the services are provided in a zip code area that fully falls within a full county HPSA. ; partially falls within a full county HPSA and has been determined to be dominant for the county by the USPS; or within a zip code that fully falls within a partial county HPSA?

• True

• False

In order for a claim to be considered for the HPSA bonus payment the name, address and zip code where the services were rendered must be included on all electronic and paper claims.

• True

• False

In order to be eligible for the HPSA bonus payment the HRSA must designate the area as of December 31 of the prior year to be eligible for the current year.

• True

• False

Areas that are designated throughout the year will be eligible with the date added.

• True

• False

Services provided in areas that are de-designated throughout the year will continue to be eligible for the HPSA bonus through the end of the calendar year.

• True

• False