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WPS Medicare Updates presented to Aksarben Chapter AAHAM

WPS Medicare Updates presented to Aksarben Chapter AAHAM . Aileen K. Sigler and Mary E. Muchow Provider Outreach & Education. CERT Program Identified Errors. CERT Task Force. MACs collaborate to educate Goal: reduce National payment error rate

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WPS Medicare Updates presented to Aksarben Chapter AAHAM

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  1. WPS Medicare Updatespresented to Aksarben Chapter AAHAM Aileen K. Sigler and Mary E. Muchow Provider Outreach & Education Created 04/02/14

  2. CERT Program Identified Errors

  3. CERT Task Force • MACs collaborate to educate • Goal: reduce National payment error rate • Departments>CERT>CERT A/B MAC Outreach & Education Task Force

  4. CMS Secure Net Access Portal (C-SNAP) News • New features coming summer of 2014 • Part B Providers • Clerical Error Reopening • Ability to make corrections to existing claims • Overpayment Adjustments • Ability to submit Medicare Secondary Payer (MSP) and non-MSP overpayment • Appeals Status • Ability to check the status of Appeals • Now available for Part A providers

  5. FYI Database • Left hand navigation throughout website

  6. Top Part B Phone and Written Correspondence • FAQ web page

  7. Website Search Tips • Upper right corner of web page

  8. Website Satisfaction • Comments help enhance website • Please be specific

  9. Self Service Tools • No limits • Available when you are • No wait, or hold time • Easy answers • Multiple users at one time • Most current information available

  10. Change for Eligibility Inquiries • CR 8248, SE 1249 • Common Working File (CWF) queries for eligibility terminated • Providers may transition to HIPAA Eligibility Transaction System (HETS) • Claim submission/correction in Direct Data Entry (DDE) not impacted • Eligibility still available with C-SNAP and Interactive Voice Response (IVR)

  11. Appeals Navigator Tool • Interactive • Questions/responses guide you • Expedite processing • Select correct form • Submit to proper address • Departments>Appeals>Calculators/Tools>Appeals Navigator NEW!

  12. Coordination of Benefits • Restructure of Coordination of Benefits Contractor (COBC) and Medicare Secondary Payer Recovery Contractor (MSPRC) • Commercial Repayment Center (CRC) • Disability, Working Aged and ESRD • Benefits Coordination and Recovery Contractor (BCRC) • No Fault, Liability and Worker’s Comp

  13. Questions?

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