W7099 editing erroneously
Some claims editing with W7099 edited in error and were returned to provider. The claims will be reprocessed starting tentatively 10/21/16. Some claims editing with W7099, billed with J7192 and J7193, when billed alone, will suspend until a system fix is received with the January 2017 release. The rest will return to provider for correction. More HCPC codes may be added as determined by CMS. These claims will be tentatively released January 2017.
WPS GHA is excited to announce we will soon launch our completely redesigned website! Available in 4th Quarter of 2016, the new site has been crafted to improve efficiency and accuracy, and to share user friendly functionality, such as CMS Secure Net Access Portal (C-SNAP) self-service functionality, content and services delivered to any device and improved content find-ability and discover-ability. Please stay tuned for future updates!
Certified Register Nurse Anesthetist (CRNA) Pass Through N699
Method II Critical Access Hospital (CAH) providers are not receiving their pass through payments for service provided by a CRNA. The remittance advice is showing N699 remark code with zero payment. WPS GHA is currently working with the Fiscal Intermediary Standard System (FISS) to resolve the issue. We will update the website once there is a final resolution.
Hyperbaric Oxygen Therapy (HBO) Probe Reviews
Medical Review is initiating two service specific pre-pay probe reviews for outpatient HBO services provided in the J5/J5N areas. See Hyperbaric Oxygen Therapy (HBO) Probe Reviews for more information.
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System related claims processing/payment alerts reported to CMS and the Fiscal Intermediary Standard System (FISS) maintainer for research and correction. Please refer to these important messages before contacting our Customer Service Area.Learn More >>
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