Medicare Primary Care Bonus Payment Program
Bonus Payment Program Overview
What services are considered primary care services?
The law defines primary care services for the purpose of this bonus payment program, by referencing the Current Procedural Terminology (CPT) service-type and code range, as:
- Office/outpatient visits, CPT 99201-99215;
- Nursing facility services, CPT 99304-99318;
- Domiciliary, rest home, or custodial care services, CPT 99324-99340; and
- Home services, CPT 99341-99350.
CMS will use the services identified in the law to implement the bonus payment program. While the law provides the agency to update the list of primary care services based on CPT code changes related to these specific types of services, the agency indicates that it the Affordable Care Act does not give it the authority to designate additional services, e.g. hospital visits, immunizations, as primary care services. The law also does not allow CMS to designate other (non primary care) specialties and subspecialties for eligibility for the bonus.
Where We Stand
From the ACA to Medicare reform, ACP is advocating for internists and their patients on issues we care about.
Earn CME Credits
Earn CME Credits through attending live meetings, working online, or watching course recordings on your own schedule.
Internal Medicine Meeting 2015 Digital Presentations
Choose from over 170 recorded Scientific Program Sessions and Pre-Courses. Available in a variety of packages and formats so you can choose the combination that works best for you.