2012 Part B Participation and Fee Information

Updated 2012 Part B Participation and Fee Information

CMS is extending the 2012 Annual Participation Enrollment Program. The participation enrollment period will now end February 14, 2012, instead of December 31, 2011. Select the link for your contract area (J5 MAC Part B or Legacy Part B) below for more information.

 

Medicare Physician Fee Schedule Database

Medicare Physician Fee Schedule Database

WPS Medicare published the revised 2012 Fee Schedules (Legacy Part B and J5 MAC Part B) on January 5, 2012. These files include the PAR and Non-PAR amounts as well as the limiting charge. If you are looking for information on status codes, relative value units, global surgery, physician supervision of diagnostic procedure, or other fee schedule indicators, please refer to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule (PFS) Relative Value Files(external link).

 

eRx Payment Adjustment (1% Reduction)

eRx Payment Adjustment (1% Reduction)

Eligible professionals who met the eRx payment adjustment inclusion criteria, but failed to meet the reporting requirements in 2011, may receive the 2012 eRx payment adjustment (1% reduction) starting January 1, 2012. Check your remittance advice for the term "LE", Claim Adjustment Reason Code (CARC) 237, and Remittance Advice Remark Code (RARC) N545. More information is available in the CMS Special Edition MLN Matters article 2012 Electronic Prescribing (eRx) Payment Adjustment: Assessment and ApplicationAdobe Portable Document Format .

 

EDI Ask-the-Contractor Teleconference (ACT) Reminder

EDI Ask-the-Contractor Teleconference (ACT) Reminder

WPS Medicare will be hosting an EDI ACT on February 9, 2012, at 1:00 pm CST. During the session, we will be presenting a power point "5010 Moving into Production." The presentation is available on the EDI website(external link). The call is an open forum and advance registration is not required. Please call (800) 305-2862, pass code 11132712.

 

Redesigned Claims Area

Redesigned Claims Area

In an effort to improve your website experience, we have recently redesigned the Claims area of our website. You can now access information on claims submission, claims processing, claim denials, and claim rejections by selecting the "Claims" tab from the top navigation. Please note, you may have to recreate any bookmarks you had saved for claims-related information.

 

2012 Participation & Fees MPFS Database eRx Adjustment 5010 Claims Tab




The compliance deadline for the transition to Version 5010 has arrived!

There are  left before CMS enforcement of the 5010/D.0 compliance.