The following Web sites may be helpful in determining whether the area where you practice is a geographic primary care HPSA: Also, a physician or provider who was eligible for the bonus in 2012 may not be eligible for the bonus in 2013. Eligibility is determined annually based on the status of the designation as of December 31 of the prior year. It is your responsibility as the physician to determine whether you are furnishing services in a geographic HPSA. Health Resources and Services Administration has designated as primary care health professional shortage areas (HPSAs) as of December 31, 2012, are eligible for a 10% bonus payment for services furnished from January 1, 2013, to December 31, 2013. Physicians providing services to Medicare beneficiaries in areas that the U.S. Is that true, and if so, how do I claim it?Ī: You may well be eligible for such a bonus. These data, including those relating to provider co-presence, can be used to develop strategies to overcome health care access problems due to provider shortages.Q: I practice in a rural area with few other primary care providers, and I’ve heard that I might be eligible for a Medicare bonus. Dentists were present in many areas where primary care provider presence was absent or very low. Rural areas continue to have a short supply of primary care providers and dentists. Over 5.8 million rural residents and over 50 percent of rural PC-HPSA residents had no providers available in their ZIP code areas. Approximately 75 percent of rural residents lived in ZIP code areas with dentists available. Dentists were approximately equal in number to primary care physicians in rural areas and the largest group in PC-HPSAs. The different combinations of providers were determined.Īll providers in rural areas were present at levels substantially lower than national averages, particularly in PC-HPSA areas. For each rural and each rural primary care health professional shortage area (PC-HPSA) ZIP code, the number of providers in each group was determined.
This paper maps dentists, primary care physicians, physician assistants, nurse practitioners, and nurse midwives in rural areas and rural areas meeting criteria as underserved for primary health care.Ĭomputer-based mapping was used to localize health care provider groups by five-digit ZIP code.
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