On your road to 5010, stop by for an EDI teleconference...
WPS will hold a 5010 EDI ACT on April 12, 2012, from 1:00 - 2:30 pm CST. Don't miss this valuable opportunity to ask our EDI staff all of your 5010 questions. No registration is required for this call; just dial 800-305-2862 and enter conference ID 11138600. For more information on EDI ACTs, 5010 testing, troubleshooting, and moving into production visit our EDI website(external link).
Electronic Health Record Information Center Interactive Voice Response (IVR) Enhancements
CMS recently announced enhancements made to the Electronic Health Record Information Center Interactive Voice Response (IVR) system. These changes include a new feature to assist with Hot Topics, including registration and attestation, as well as updated Password Reset menus. To access, dial 1-888-734-6433 (primary number) or 888-734-6563 (TTY number).
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 .
MAC Jurisdiction 8 Implementation to Start
CMS recently instructed WPS to begin the implementation of MAC Jurisdiction 8. For this contract, WPS will administer the Part A and Part B benefits for Indiana and Michigan. While specific timelines are not yet available, WPS is already working to ensure a smooth and seamless implementation.
As more information becomes available, we will use our website, eNews, and other distribution channels for updates. WPS looks forward to serving the Jurisdiction 8 beneficiaries and provider community.
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.
The compliance deadline for the transition to Version 5010 has arrived!
There are left before CMS enforcement of the 5010/D.0 compliance.
