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Medicare Graduate Medical Education and Organ Acquisition Payment Policy Changes

On Monday December 27, CMS published Federal Register / Vol. 86. No. 245 [CMS–1752–FC3. This Final Rule with comment period includes new teaching slots for graduate medical education, modifications to organ acquisition reimbursement, and postpones potential changes related to Section 1115 waiver days for empirical DSH payments. February 25 is the deadline to submit comments to CMS for the issues (discussed below) whereby CMS is seeking feedback. 

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Health Professional Shortage Area (HPSA) Post-payment Review Process

From: CMS Transmittal 2890 (Pub 100-04) – 2/28/14


The Health Professional Shortage Area (HPSA) incentive payment for Medicare claims is based upon whether a physician provides services in an area that has been designated as a primary medical care geographic HPSA or a mental health HPSA. CR 3401 and, subsequently, CR 4068 removed information on the post-payment review process of the HPSA bonuses from the Medicare Claims Processing Manual (Pub. 100-04) and made it confidential. The post-payment review process is no longer confidential and this CR will manualize that process.

Health Professional Shortage Area (HPSA) Post-payment Review Process

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