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Change Request 4242, implemented 07/03/06, indicated that the following data elements are to be present when billing Inpatient Part B services (TOBs 12x and 22x) effective October 1, 2005. These data elements are mandated by the Health Insurance Portability and Accountability Act (HIPAA).
You will need to access MAP1681 for roster bill entry. Enter the Date of Service, Type of Bill, Revenue Code, Healthcare Common Procedure Code System (HCPCS), and Charges per Beneficiary then press the Enter key, which will provide you with access to enter data in the new fields.
If you are having difficulty connecting to your network and you do not know which company you connect to, such as VisionShare (612-460-4310) or IVANS (866-503-9670, please contact your corporate office for assistance.
abc12def - valid password aaa12aaa - invalid password abc12abc - invalid password
LOGON-ID: PASSWORD: NEW PASSWORD:
When you are changing a password, make sure you hit the Enter key after typing in the logon ID and password, even though the cursor will drop down to the New Password line automatically. After you have received a message at the bottom of the screen stating that the password has expired, you should type your new password on the New Password line and press Enter. You will then have a message at the bottom of the screen to type in your new password again and hit Enter. Once you have done this, your password should be changed.
If you are receiving a message saying you are already signed on, please make sure you are properly logging off by typing LOGOFF on the selection line and pressing the Enter key. Resetting the password will not correct the problem.
You should contact the Systems Department at 866-518-3295, Option 2.
You should contact the Electronic Data Interchange (EDI) department at 866-503-9670.
When necessary yes, typing over the TOB field will change the type of bill. Adjustments TOBs must end in a 7 (xx7). Each sub-menu automatically defaults to TOB 13x, 11x or 21x respectively.
You can determine this by checking the following fields:
A suppressed claim will be in status location TB9997 and have the X in the "TPE-TO-TPE" field or a "Y" in the SV field (page 1 of claim, the very upper right corner, underneath the page number).
A claim that did not post to CWF will be in PB9997 and have the X in the "TPE-TO-TPE" field.
When entering an adjustment on the DDE system you will need the following:
Adding modifiers on claims entry:
Adding modifiers on claim corrections or adjustments:
This field is not currently being used, as NPI has not been implemented yet.
When entering information on HIQA use the Tab key to skip this field. DO NOT use the Enter or down arrow key. If you do not use the Tab key, you will receive a message stating your NPI cannot be identified.
Therapy caps are located on the third paragraph on the first page. See below for an example. "PT TBM 1740.00" means "physical therapy to be met" and the amount is what is remaining for that Medicare beneficiary to use toward the CAP. This example shows the Medicare beneficiary has not utilized any physical therapy yet, so the full $1740.00 is available.
PART A YR BLD 3 PT TBM 1740.00 OT TBM 1740.00 CATASTROPHIC A: DED-TBM BLOOD CO-SNF FULL-SNF DOEBA DOLBA DED-APL YEAR 89 0056000 03 008 142 000000 000000 0000000
Part A Customer Service can be reached at 866-518-3285 Part B Customer Service can be reached at 866-503-3807
The mailing address for the DDE Systems Department is: WPS Medicare Part A P.O. Box 8799 Madison WI 53708-8799
This process can take up to 10 business days to complete. A DDE Systems Analyst will contact you with the temporary password.
First you want to contact one of our vendors; either IVANS or VisionShare for connectivity. Then visit our DDE information page in a Self-Service area and to obtain a DDE Request Form. You can access Self-Service from top navigation drop down menu. Please indicate on the form either New DDE Access for IVANS or New DDE Access VisionShare. The request should be sent to:
WPS Medicare Part A P.O. Box 8799 Madison WI 53708-8799
Contact the DDE Claims Department at 1-866-518-3251.
No. You will need to contact your connectivity vendor for further instructions.
Contact the EDI Department at 1-866-503-9670.
No. When an employee terminates their employment, you will need to send a request to deactivate the ID for the termed employee
Contact the DDE Systems Department at 1-866-518-3295 for further assistance.
You must log on to the DDE System every 15 to 20 days to avoid having your password reactivated.
You can use the transaction code of HIQA.
The correct area to call would be EDI Department at 1-866-503-9670.
To correct this error, enter the command of *ic,'*multi' at the bottom of the screen in the selection field. Then select the Enter key, and log off. You should now be able to access FISS. If, not contact either the DDE Systems Department at 1-866-518-3295 or DDE Claims Remote Department at 1-866-518-3251 for assistance.*Please review the screen below.
Page Last Updated: Thursday, 15-Dec-2011 13:48:08 CST
