CERT Review Results

CERT Review Results

To obtain the results of your Comprehensive Error Rate Testing (CERT) review(s), please contact WPS Government Health Administrators at the following email address: CERTPartB@wpsic.com

 

Paper Billers

Paper Billers

We have seen increased denials and rejections based on the ICD-10 codes. Help us to process your claims appropriately. Only submit an ICD-10 code on the paper form once in Item 21 even if it applies to multiple lines of service. Use Item 24E to point at the specific diagnosis code in Item 21. Submission of a paper claim requires the fields to be completed correctly. Submission of ICD-10 codes in item 21 starting in section B or not going in order from A to L will cause a denial or rejection of your claim. More information can be found in the CMS Internet Only-Manual (IOM) Publication 100-04, Chapter 26.

 

Holiday Closure

Holiday Closure

WPS GHA will be closed on Monday, September 5, 2016, in observance of Labor Day. We will re-open on Tuesday, September 6, 2016. If you require further assistance, please contact us when we re-open.

 

CERT Review Results Paper Billers Holiday Closure
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