wps medicare updates presented to aksarben chapter aaham
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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 - PowerPoint PPT PresentationTRANSCRIPT
WPS Medicare Updatespresented to Aksarben Chapter AAHAM
Aileen K. Sigler and Mary E. MuchowProvider Outreach & Education
Created 04/02/14
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CERT Program Identified Errors
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CERT Task Force
• MACs collaborate to educate • Goal: reduce National payment error rate• Departments>CERT>CERT A/B MAC
Outreach & Education Task Force
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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
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FYI Database
• Left hand navigation throughout website
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Top Part B Phone and Written Correspondence
• FAQ web page
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Website Search Tips
• Upper right corner of web page
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Website Satisfaction
• Comments help enhance website• Please be specific
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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
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)
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Appeals Navigator Tool
• Interactive• Questions/responses guide you
• Expedite processing• Select correct form• Submit to proper address
• Departments>Appeals>Calculators/Tools>Appeals Navigator
NEW!
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
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Questions?