• 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.

EDI Ask-the-Contractor Teleconference (ACT) Reminder

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

Updated Medicare Companion Guides now Available

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.