CERT Review Results

CERT Review Results

To obtain the results of your Comprehensive Error Rate Testing (CERT) review(s), please contact WPS Government Health Administrators at the following email addresses:
Part A: CERTPartA@wpsic.com
Part B: CERTPartB@wpsic.com

 

Appeal Documentation

Appeal Documentation

Claim denials for insufficient documentation is a common occurrence. For more information on submitting documentation with your appeal request visit the Appeals web page.

 

Provider Submitted Adjustment Claim(s)

Provider Submitted Adjustment Claim(s)

It has come to our attention that the "Voluntary Refund" adjustment reason codes (VB, VC, VD, VE, VF, VG, VH, VI, VL, VM, VN, VP, VR, VS, VV or VW) are being submitted on provider initiated adjustment claim(s). These codes are intended for Medicare Administrative Contractor (MAC) use only. Therefore, effective August 15, 2016, provider submitted adjustment claim(s) that contain a "Voluntary Refund" adjustment reason code will be returned to you for correction.

 

CERT Review Results Appeal Documentation Provider Submitted Adjustment(s)
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