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MIR-2006-9AB, September 2006
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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2007 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments (MM5237)
Provider Types Affected
Physicians and providers submitting claims to Medicare carriers and fiscal intermediaries (FIs) for services provided in HPSAs
Impact on Providers
This article is based on Change Request (CR) 5237, which alerts affected physicians, providers, carriers, and FIs that the new HPSA bonus payment information for 2007 will soon be available.
Background
The Medicare Prescription Drug Improvement and Modernization Act of 2003 (Section 413(b)) mandated an annual update to the automated HPSA bonus payment files, and the Centers for Medicare & Medicaid Services (CMS) creates these new automated HPSA bonus payment files annually.
CR5237 instructs carriers and FIs to use the new HPSA bonus payment file for the automated bonus payment for claims with dates of service on or after January 1, 2007 through December 31, 2007.
In addition, CMS is notifying affected physicians/providers that it will post the new HPSA information to the CMS Web site on or about October 1, 2006.
Implementation
The implementation date for the instruction is January 2, 2007.
Additional Information
For complete details, please see the official instruction issued to your carrier or FI regarding this change. That instruction may be viewed at http://www.cms.hhs.gov/Transmittals/downloads/R1021CP.pdf  on the CMS Web site.
If you have any questions, please contact your carrier/FI at their toll-free number, which may be found on the CMS Web site at http://www.cms.hhs.gov/MLNProducts/downloads/CallCenterTollNumDirectory.zip  .
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.
MLN Matters Number: MM5237
Pub. 100-4, Transmittal# R1021CP , CR# 5237
Related CR Release Date: August 4, 2006
Effective Date: January 1, 2007
Implementation Date: January 2, 2007
Attention Physicians and Providers!
Medicare will delay claims payments during the last nine days of fiscal year 2006 (September 22 through September 30). For complete details, see MLN Matters article MM4349 at http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM4349.pdf . Get your Medicare news as it happens!
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