April 25 Recording

April 25 Recording

On April 25, 2012, CMS hosted a National Provider Call (NPC) on the current status of the implementation of HIPAA Version 5010 and D.0. This NPC focused on addressing the current 5010/D.0 metrics, addressing recommendations made by Medicare FFS, as well as possible outstanding fixes impacting the Part A and Part B Version 5010 transition. You can read the transcript or listen to an audio recording of this call on the CMS websiteExternal Link.

 

Memorial Day Closing

Memorial Day Closing

WPS Medicare will be closed on Monday, May 28, 2012, in observance of Memorial Day. The Interactive Voice Response (IVR) system will be available to check claim status and eligibility. If you require further assistance, please contact us when we re-open on Tuesday, May 29, 2012.

 

Attention 5010 Submitters - Facility Loop

Attention 5010 Submitters - Facility Loop

For 5010, the facility loop is only required when services are rendered at a location other than what was submitted in the 2010AA loop. If dropping the facility loop address, please ensure the billing NPI is valid and the address reported in the billing provider loop 2010AA is a physical address and on file with WPS Medicare Provider Enrollment.

 

Enhanced C-SNAP Login Process

Enhanced C-SNAP Login Process

Effective May 24, 2012, the C-SNAP login process will change. All users will be required to create an e-Signature. This enhanced security measure is required by the CMS to further safeguard the protected health information (PHI) of Medicare beneficiaries. More information is available on our website.

 

5010 NPC Memorial Day 5010 Facility Loop C-SNAP Login

Evaluation and Management (E/M)

The most billed service to the Medicare Program is a "Patient Visit". When billing for this service the CPT code selected should be the one that best represents the level of service provided.

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C-SNAP

WPS offers C-SNAP, a FREE 24/7 Internet portal that provides real-time patient eligibility and claim status information, the ability to view and print duplicate remittance advices on demand, and an avenue to submit appeal requests and review responses on line.

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Customer Service

Illinois (866) 234-7340
Michigan (866) 234-7331
Minnesota (866) 359-1598
Wisconsin (866) 359-1599
Call center staff will be unavailable for phone calls from 8:30 am CST until 12:30 pm CST on the following dates:
May 18, 2012
June 22, 2012
July 20, 2012

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CERT

Stop refunding money, WPS Medicare is dedicated to helping you receive correct payments and avoid errors that are identified by the Comprehensive Error Rate Testing (CERT) contractor.

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5010

Version 5010 is the new version of the X12 standards for HIPAA transactions. Are you ready for 5010 implementation?

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