TrailBlazer Health Enterprises may be asking you to repay a health professional shortage area (HPSA) bonus you received this year.
That's because the Centers for Medicare & Medicaid Services found an error in its HPSA 2012 files that affects ZIP code 78648 (Luling and surrounding areas in Caldwell County). Medicare no long considers ZIP code 78648 a primary care HPSA for dates of service on or after Jan. 1, 2012, but it remains a mental health HPSA.
Physicians who treat Medicare patients in ZIP code 78648 may have received a HPSA bonus in error. TrailBlazer will contact physicians about recoupment of any incorrectly paid HPSA bonuses, via the Part B overpayment demand letter process.
The HPSA is based on the ZIP code where the services are provided, not where the patient lives.
Action, Aug. 15, 2012