If Palmetto GBA determines evidence to the contrary, you may begin to receive rejections on future claims submitted with the HPSA AQ HCPCS modifier in error. In adding the HPSA AQ HCPCS modifier to a claim, you are attesting that you have researched external link for Medicare HPSA eligibility and determined that the physical address was a designated HPSA area where and when the services were rendered. Palmetto GBA is experiencing an increase in the number of providers that are submitting claims with the HPSA AQ HCPCS modifier incorrectly. Health Professional Shortage Area (HPSA) – Use of the AQ HCPCS Modifier May Reduce Cash Flow
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