Home > Industry News Free Tags

News Tags: WPS Medicare MAC J5

    • April 27, 2015

    The Code of Federal Regulations 42 CFR 424.555 states that if a provider's billing privileges have been deactivated, denied or revoked, Medicare cannot make payment. The patient is not liable for payment of any charges. WPS Medicare will update the denial message to show the patient may not be charged. This message will also appear on the... more


    • October 27, 2015

    WPS Medicare is rebranding as WPS Government Health Administrators (GHA) to strengthen their commitment to top-quality service for their government customers. Beginning on Monday, October 26, 2015, WPS Medicare eNews will be WPS GHA Medicare eNews.


    • March 30, 2015

    Comprehensive Error Rate Testing (CERT) findings are reported based on the type of documentation, coding, or billing errors that are assessed by the CERT Contractor. WPS Medicare received error findings for J5 providers in the following categories during the fourth quarter of 2014. Insufficient Documentation - 76% of total errors- Missing the... more


    • February 26, 2015

    WPS Medicare monitors Comprehensive Error Rate Testing (CERT) findings for provider specialties in order to ascertain emerging error trends for creation of individualized or widespread provider education.  Their analysis of recent findings for Independent Clinical Laboratories reveals high error rates and significant projected improper... more