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HPSA-Eligible Procedure Codes and ZIP Codes Wisconsin Medicaid provides enhanced reimbursement for selected procedures for primary care providers and emergency medicine providers who either provide
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HPSA-eligible procedure codes are specific medical procedure codes that are eligible for reimbursement under the Health Professional Shortage Area (HPSA) program.
Healthcare providers who provide services in designated HPSA areas are required to file HPSA-eligible procedure codes.
To fill out HPSA-eligible procedure codes, healthcare providers need to review the list of eligible codes provided by the HPSA program, identify the codes applicable to the services they provide, and include those codes in their billing or claim submissions.
The purpose of HPSA-eligible procedure codes is to ensure that healthcare providers in underserved areas receive appropriate reimbursement for the services they provide and to incentivize the delivery of healthcare in HPSA-designated areas.
The specific medical procedure codes and associated billing or claim information must be reported on HPSA-eligible procedure codes. This includes details such as the service provided, date of service, and patient information.
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