Are you interested in learning more about the most recent Comprehensive Error Rate Testing (CERT) review findings for WPS GHA J8 providers? Find the latest CERT Quarterly Error Finding Report for J8 Part A MAC. Periodic review of these error findings and educational resources can help your facility prevent costly recoupments!

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Date of Service - Do You Have Questions?  

The WPS GHA A/B MAC collaboration team have heard your questions on the appropriate date of service to use.  We have developed two articles - one on inpatient and one on outpatient. These articles cover both common and some unusual situations you may have. Take a look and evaluate your claim submission to verify you are using the correct date of service.

2018 Quarterly CERT Review Findings

Are you interested in learning about the most recent Comprehensive Error Rate Testing (CERT) review findings for WPS GHA J8 providers? Find the latest CERT Quarterly Error Finding Report for J8 Part B MAC and get important educational resources to help you avoid these findings in your practice! 

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Fast, Easy, Secure - Use the WPS GHA Portal to Submit Reopening Requests 

Do you need to make a minor change to a previously filed claim? Save time and money by using the WPS GHA Portal to submit your Clerical Error Reopen (CER) request.
 
Advantages of Using the Portal

• Submit your request on your schedule, not ours (the WPS GHA Portal is available 24 hours a day, 7 days a week).
• No form to print and complete.
• No need to go to the post office, or even the fax machine!
• Receive immediate notification when your claim adjustment has been accepted.
• Receive immediate notification if your request is not a valid CER submission.
• After submission, use the portal to track your adjustment, determine when it is finalized, and find payment information. 

More information about using the portal to submit a CER is available in "How to Submit Your Clerical Error Reopening (CER) via the WPS GHA Portal."
 
Not a current portal user? Register for an account and begin taking advantage of this, and other portal features, today.

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WPS GHA Portal Overpayment Claim Adjustment (OCA) Expansion 

For Medicare Part B users in the WPS GHA Portal, the change billed amount and change units have been combined into one selection in the Overpayment Claim Adjustment (OCA) process. 

The two choices that were labelled "Incorrect Number of Unit(s) Billed" and "Incorrect Billed Amount" are now combined to be "Incorrect Billed Amount/Unit(s)." The combined function can be found the Non-MSP drop down box. You can now change both fields for any applicable detail line at the same time. For users who still only need to change one of those fields, you can continue to just update one of those fields as needed.