§ 9789.12.6 Health Professional Shortage Area Bonus Payment: Primary Care; Mental Health

Summary

For medical services rendered on and after January 1st, 2014, the RBRVU Physician Fee schedule consists of 48 Regulations. Knowing and understanding these additional fee-affecting regulations is critical to determining the correct reimbursement for services.

Per section 9789.12.6, physicians, including psychiatrists, who provide services in a Health Professional Shortage Area (HPSA) are eligible for a 10% bonus payment.

Section 9789.12.6 mandates that the claims administrator must pay the 10% bonus in addition to the payment for the service performed in the HPSA designated area.

California Code of Regulations (CCR)

§ 9789.12.6 Health Professional Shortage Area Bonus Payment: Primary Care; Mental Health

Division of Workers’ Compensation Websites

Official Medical Fee Schedule

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