Complete Story
 

03/19/2019

WPS Recent Oncology Related News

Part A, Part B and Part A/B News



WPS



WPS Articles From The Past Couple of Weeks that may be of Interest to Oncology:

 

WPS PART A-Outpatient Hospital Only

None at this time.



WPS PART B-Private Practice Only

Describing Services when Billing Not Otherwise Classified (NOC) Codes
 
WPS GHA has found that a large number of claims for NOC codes are submitted with missing or inadequate descriptions of the service(s) provided.
 
In order for WPS GHA to correctly reimburse NOC services, drugs and biologicals, providers must indicate the following in the 2400/SV101-7 data element (this field holds up to 80 characters), or Item 19 of the CMS 1500 form:
  • A complete description of the service performed with enough information so that the reviewer can adequately determine coverage and compare the service to similar work for pricing.
  • The name of the drug/biologic, the total dosage (plus strength of dosage, if appropriate), and the method of administration.
For more information, including examples of good and inadequate descriptions, see Billing and Describing Not Otherwise Classified (NOC) Codes on our portal.


WPS PART A & PART B

MSI: Evaluate Our Services!
  
The MAC Satisfaction Indicator (MSI) is the best way to share your opinions directly with the Centers for Medicare & Medicaid Services (CMS) about your experience with us. These survey results will help us gain valuable insights and determine process improvements.
 
https://www.surveygizmo.com/s3/4826847/?MAC_BRNC=15&MAC=J8-WPS
 
Thank you for your feedback.



Self Service Denial Assistance is Available

Are you using the Self-Service Denial Assistance that is available to you with the More Info button? We have added some new denial categories recently.
 
Some denial categories have additional information available. Examples are eligibility, claim history, or links to useful webpages. Please visit the resource, "Self Service Denial Assistance is Available with the More Info Button." You can view the denial categories and see the additional information available for each.
 
If you would like to suggest a denial category for the enhanced denial information, please let us know! Suggestions can be emailed to MedicareAdmin@wpsic.com. We are updating the denials often and would like to provide information that will help you.



Draft Local Coverage Determination (LCD): We Want Your Comments

The following DRAFT LCDs are open for comment. Comments will be accepted until April 8, 2019, and can be sent to policycomments@wpsic.com. Please include the topic of the LCD on the e-mail subject line. Please include published scientific studies and/or literature to support additional coverage.

LCD Database ID Number Draft LCD Title CMD
DL38018 MolDX: DecisionDX - Melanoma Dr. Ella Noel

Individual responses to the comments will not be sent. Responses will be available in a Comment and Response document that is posted with the Final LCD.
 
Additional information is located on the WPS GHA Proposed/Draft Local Coverage Determinations (LCD) page.



MEDICARE HOT LINKS

Medicare Part B Fee Schedule

Addendum B Update (HOPPS Fee Schedule for Services & Drugs)

Current ASP Drug Pricing Files

Quarterly Updated to CCI Edits



2019 FINAL RULES

Physician Fee Schedule

Physician Fee Schedule Fact Sheet

HOPPS

HOPPS Fact Sheet

QPP Fact Sheet

E/M Payment Amounts Charts



 

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