Complete Story
03/20/2018
WPS Recent Oncology Related News
Part A, Part B and Part A/B News
WPS PART A-Outpatient Hospital Only
Nothing at this time.
WPS PART B-Private Practice Only
Special Form Not Required for Billing Not Otherwise Classified (NOC) Codes
Providers should be aware that there is no longer a required form for submitting a claim with an NOC code. Instead, WPS GHA suggests that the provider submit a separate statement in the documentation describing the service or item being billed with the NOC code to assist in review of the claim. Claims where the NOC is not described in sufficient detail may be denied if the reviewer cannot determine if the documentation supports the code billed. Please refer to resource "Not Otherwise Classified (NOC) Billing" for additional information.
If you have already received an Additional Documentation Request (ADR) letter referencing an NOC form, please be sure to include the ADR letter with your documentation as well as a description of the NOC code being billed. A specific NOC form is no longer available for download.
WPS PART A & PART B
We Want Your Comments - February 2018 Draft LCD Open Meeting
Draft LCDs are open for comment. Comments will be accepted until March 28, 2018, and can be sent to policycomments@wpsic.com. Please include the topic of the LCD on the email subject line. Please include published scientific studies and/or literature to support additional coverage.
For more information, see the full article on our website.
Comprehensive Error Rate Testing (CERT) Findings - Missing Signatures
The CERT Documentation Office has assessed errors on claims because the submitted medical record documentation was missing a valid provider signature. This type of error can be reversed by including a signature attestation statement.
To avoid unnecessary administrative costs and delays, we advise providers to sign all their medical record documentation with a handwritten or electronic signature. This will free providers and staff to take care of more urgent concerns.
For more information, refer to the CMS Internet-Only Manual, Publication 100-08, Chapter 3, section 3.3.2.4 - Signature Requirements, the MLN Matters article Signature Guidelines for Medical Review Purposes (Revised MM 6698), and the WPS GHA resource "Guidance for Provider Signature Requirements."
MEDICARE HOT LINKS
Addendum B Update (HOPPS Fee Schedule for Services & Drugs)
Current ASP Drug Pricing Files
Quarterly Updated to CCI Edits
2018 FINAL RULES
Physician Fee Schedule Fact Sheet
2017 FINAL RULES
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