Incentive Payments To Primary Care Practitioners For Primary Care Services: The ACA provides incentive payments equal to 10 percent of a primary care practitioner's allowed charges for primary care services under Part B. Under this policy, primary care practitioners are: (1) specialists whose primary specialty designation of family medicine, internal medicine, geriatric medicine, or pediatric medicine; as well as nurse practitioners, clinical nurse specialists, and physician assistants. In order to qualify, at least 60% of the provider's FFS Medicare allowed charges for a prior period must be primary care services. The law defines primary care services as limited to new and established patient office or other outpatient visits (CPT codes 99201 through 99215); nursing facility care visits, and domiciliary, rest home, or home care plan oversight services (CPT codes 99304 through 99340); and patient home visits (CPT codes 99341 through 99350).
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