WPS Medicare Updates presented to Aksarben Chapter AAHAM Aileen K. Sigler and Mary E. Muchow Provider Outreach & Education Created 04/02/14

CERT Program Identified Errors 2

CERT Task Force MACs collaborate to educate Goal: reduce National payment error rate Departments>CERT>CERT A/B MAC Outreach & Education Task Force 3

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 4

FYI Database Left hand navigation throughout website 5

Top Part B Phone and Written Correspondence FAQ web page 6

Website Search Tips Upper right corner of web page 7

Website Satisfaction Comments help enhance website Please be specific 8

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 9

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) 10

Appeals Navigator Tool Interactive Questions/responses guide you Expedite processing Select correct form Submit to proper address Departments>Appeals>Calculators/Tools>A ppeals Navigator 11

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 12

Questions? 13