Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 90.4.11
Health Professional Shortage Areas (HPSA) Surgical Incentive Payment
90.4.11 - Health Professional Shortage Areas (HPSA) Surgical Incentive Payment
Program (HSIP) for Surgical Services Rendered in HPSAs
(Rev. 2040, Issued: 08-27-10, Effective: 01-01-11 and 04-04-11, Implementation: 01-
03-11 for the claim identification of the incentive and 04-04-11 for full
implementation)
Section 5501(b) of the Affordable Care Act revises Section 1833(m) of the Act and
authorizes a 10 percent incentive payment for 10 - and 90 - day global surgical
procedures furnished by 02 – general surgeons in Health Professional Shortage Areas
(HPSAs).