09/11/12 Ask-the-Contractor Teleconference (ACT ... - WPS Medicare

Jenny:
Cathy Smith:
Jenny:
Cathy Smith:
Jenny:
Cathy Smith:
Jenny:
Cathy Smith:
Jenny:
Cathy Smith:
Jenny:
Cathy Smith:
Jenny:
Cathy Smith:
Dr. Boren:
Oh, this is Jenny with Payment Recovery Area. Are you referring to at the
bottom of the remittance notice, remark code WO
http://www.wpsmedicare.com
Probably. I do not know that it’s there. I can’t remember exactly where it is or
exactly what the information is. I have seen it. I don’t have one in front of me
now, but we are having a lot of take-backs right now because we had to go
back and correct a lot of billing errors for procedures. So we’re getting takebacks
from the remits. But we just need to know the best way to get the
information to know who that money is being taken back from.
All right. So to match up your withholdings or your offsets on your remit
notice, there’s a couple of different things you can do. Do you keep a copy of
your demand letters that you received
Yes, ma’am.
On the demand letters, all of them have an accounts receivable number or an
invoice number. If you keep that letter and then match it up to your remittance
notice, at the bottom there’s the WO. That will give you the invoice number
that matches your letter and then it will give you a patient account number if
you bill with the patient account number.
OK.
If you do not bill with the patient account number then the Medicare number
will be provided.
OK.
Another option you can do is if you have that invoice number, you could take
that into C-SNAP and you can put in the invoice number and it’ll give you the
patient’s name and date of service.
OK, good. What is the difference in getting the request for a refund Like, if
we get a request from you on a refund and it’s not on our remit versus it only
being on the remit, or is that – does that even happen
The request for refund, the letter, you’ll first receive a demand letter. Then
after 41 days or whenever that demand is offset, then the WO will appear on
your remittance notice.
OK.
It’s not at the same time. You’ll have to wait if the claim is offset.
Right. OK. All right, thank you.
Mary, I don’t want to interrupt, but to answer the question that Natalie asked
about the VAD. It is not a CCI issue unless it’s the date it was inserted.
Because on the date it’s inserted, it hits a modifier. But that would not be an
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