your Medicare carrier if you choose to bill globally and
forgo your physician scarcity (PSA) or health professional
shortage area (HPSA) bonus -- or your carrier will reject
you can receive PSA and HPSA bonus payments on only the
services' professional component with a "1" indicator
(Diagnostic Services or Radiology Services), even when you
submit a global service code, according to two recent Centers
for Medicare and Medicaid Services transmittals. You must
bill the professional and technical components separately
or your carrier will return your "unprocessable"
If you don't want to bill the components separately and
wish to forfeit your HPSA and PSA incentive payments on
globally billed eligible services, your carrier won't perform
a HPSA or PSA related post-pay review on those claims. Your
carrier will re-open and reprocess your previously billed
claims, if you want to receive only the global services
payment and not the bonus.
CMS' transmittals, go here.