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    • September 28, 2017

    The WPS GHA Portal has enhanced self-service technology to assist providers with claim denial issues. Launching Friday, September 15, 2017, providers will have 24-hour access to denial information on both the transactional and public sides of the WPS GHA portal. WPS GHA has developed an On-Demand course to introduce these self-service resources.... more

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    • September 28, 2017

    WPS GHA developed enhancements to their portal to assist providers when a claim has been denied. The Self-Service Denial Tool was launched in September 2017 and includes enhancements to the Claim Details page to provide assistance when you receive a denial you may not understand. Another enhancement to the WPS GHA portal is the Code Lookup tool... more

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    • September 28, 2017

    Check out the enhancements to the claim summary and detail pages.  WPS updated these pages for a streamlined look making it easier for you to view the claim details. Each claim link will have a More Info button providing additional information related to the claim. New features include enhanced related eligibility where available, and... more

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    • September 28, 2017

    This teleconference is intended for WPS J5/J8 Part A/B providers billing on a UB-04/CMS-1500 or electronic equivalent. NGS medical review process is changing! This is the biggest change to claims review in 20 years. CMS identified that the results of targeted probe and review pilots have been so favorable, based on the decrease in the number of... more

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    • March 27, 2017

    This article is to notify providers that WPS GHA is defining what is considered a timely submission of documentation for the corrective action determination. Beginning with any post pay probe that is open on or after March 15, 2017, the provider has 45 days to submit documentation for review (unless the provider has contacted GHA Medical Review... more

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    • August 29, 2013

    Recent claim reviews performed by the Comprehensive Error Rate Testing (CERT) contractor have noted significant error findings for qualitative drug tests and quantitation of drugs screened (therapeutic drug assays and certain chemistry tests). In most cases, the independent laboratories that performed and billed the services did not submit... more

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    • May 28, 2010

    WPS Medicare has received questions from providers regarding the information a provider signature attestation statement should contain. In response to these inquiries we have developed an example of a signature attestation statement to provide further guidance. While not a Medicare mandated form, for your convenience it can be completed and... more

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    • September 27, 2012

    CMS is required to compete the A/B MAC workloads at least once every 5 years. It recently did so for the Jurisdiction 5 A/B MAC and awarded this workload to WPS, the incumbent contractor. CMS has determined that it will not need to change the current Jurisdiction 5 workload numbers when this new contract is implemented. This applies to the Part B... more

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