The Affordable Care Act (ACA) authorizes a Medicare incentive payment program for major surgical procedures provided by general surgeons in Health Professional Shortage Areas (HPSAs). This new initiative is called the HPSA Surgical Incentive Payment program, or the general surgery bonus program. The bonus applies to major operations (defined as 10-day and 90-day global procedures) provided by a surgeon who is enrolled in Medicare with primary specialty code of 02 (General Surgeon). The major procedures must be provided in a geographic HPSA between January 1, 2011, and January 1, 2016. The bonus payment amount is 10 percent of the amount actually paid for service.
What surgeons should know about... Incentive payments for operations furnished in HPSAs
Medicare Physician Fee Schedule Comment Letter (starting on p. 21)