None at this time.
Increase to the PGIP Allocation Amount
Effective July 1, 2018, BCBSM will increase the PGIP allocation amount on your provider vouchers from 5% to 7%.Read More >
Collaboration for Demographic Updates
Starting June 28th, CAQH ProView will present to you a list of practice locations to confirm.Read More >
Medicare Secondary Payer Claims Increase
WPS GHA has announced that Medicare Secondary Payer (MSP) claims has seen an increase in the level of development due to MSP records not existing.Read More >
MIPS Preliminary Performance Feedback Data is Available
CMS would like to remind you that if you submitted 2017 Merit-based Incentive Payment System (MIPS) DATA through the Quality Payment Program website, you can review your preliminary performance feedback. Please note: this is NOT your MIPS final score or feedback.Read More >
Conducting Post Payment Reviews of paid claims using AdvanceMed
Medicaid announced June 2018 that to pursuant of MCL 333.26368, Sections 14.2 and 16 of the General Information for Providers section of the Michigan Medicaid Provider Manual, and the Medical Assistance Provider Enrollment & Trading Partner Agreement, Michigan Dept of H&HS Office of Inspector General (OIG) is authorized to perform posting-payment reviews of paid Medicaid claims to identify and recover any overpayments made to Medicaid providers.Read More >
June 2018 Bulletin... UnitedHealthcareOnline.com Will be Retired Soon and other information
United Healthcare released their June 2018 Bulletin and reported that UnitedHealthcareOnline.com will be retired soon.Read More >
Cancellation of Modifier 25 Payment Adjustment for E&M Services
Our voices were heard!!! Located on the BCBS Webdenis Message Board, BCBS posted the announcement of cancellation.Read More >
Behavioral Health new authorization requirement
Starting June 1, 2018 authorization is not required for BCN routine outpatient behavioral health therapy.Read More >
The New Medicare Beneficiary Identifier (MBI) Lookup Tool is here!
WPS GHA Portal users now have access to a MBI Lookup tool. Users must be registered portal and be logged in to access the MBI lookup Tool.Read More >
E/M Service Documentation Provided by Students Manual Update
CMS has made a major revision regarding E/M documentation provided by Medical Students. Students will now be allowed to document all components of the E/M.Read More >
Billers, Coders, Physicians, and Office Managers are Welcomed!
Our friends at MSMS are having Educational Sessions on Friday, May 18, 2018 at the DoubleTree by Hilton Hotel Dearborn.Read More >
Provider forums Coming to a town near YOU!
BCBS and BCN are conducting forms starting in May. Make sure to register for the place, date, and time frame that works best for you.Read More >
Upcoming Changes to the Provider Contact Center!
WPS GHA is implementing changes in their Provider Contact Center (PCC). New phone numbers for J8!Read More >
LCD Lookup Tool and they want to know what you think!
WPS GHA listen and responded! There is a LCD Lookup Tool for all users.Read More >
DME Webinar for Physicians regarding medical record documentation requirements.
The Durable Medical Equipment and A/B Medicare Administrative Contractors (MACs) are partnering on a webinar.Read More >
Payment policy change when E/M is billed with Surgery
In the April 2018, TheRecord publication, BCBS of MI and BlueCareNetwork has announced that E/M services billed with modifier 25 will pay at 80 percent when billed with a surgery.Read More >
WPS Government Health Administrators wants to here from you!
Take a moment to provide valuable feedback to our Medicare MAC.Read More >
Michigan Medical Biller's Day is March 29, 2018
Did you know that there is a Medical Biller's Day for the State of MI?Read More >
Come All Specialists of Oncology, Cardiology, & Vascular Surgery
BCBS & BCN are conducting a specialist provider educational seminar in the Southfield, MI area.Read More >
Delayed enrollment for Medicaid MCO has been published
The Michigan Department of Health and Human Services (MDHHS) requirement of Managed Care Organization (MCO) typical providers needing to be enrolled in CHAMPS by March 1, 2018, has been delayed.Read More >
Attend this Webinar to learn how
Blue Cross Blue Shield of MI is using National Drug Code information during the claims process to ensure the most accurate and up-to-date pricing for medical drugs.Read More >
Check out this Article from the AAPC
The AAPC reports, the medical decision-making (MDM) component of evaluation and management (E/M) services is perhaps the most crucial element...Read More >
Change to the Managed Care Support Contractor Effective January 2018
The new East Region combines the current North and South Regions for TRICARE come 2018.Read More >
Delays Plans to End Payments for Consultations
In June of this year, UnitedHealthcare (UHC) announced they planned to stop reimbursing for consultation services (99241-99245, 99251-99255).Read More >
Browser Setting Update
The WPS GHA Portal requires an appropriate browser setting for private and security purposes.Read More >
ONLINE Classes for AAPC's CPC or AHIMA's RHIT Credentials
Whether you are new to Coding or need to finally get that credential you need to advance, Macomb Community College can get you there!Read More >
Effective Jan. 1, 2018, Changes to Provider Data Submissions
Group Change forms will no longer be accepted come Jan. 1, 2018. You must have access to the Provider Enrollment & Change Self-Service tool in order to maintain professional group data and make changes to the group's provider data.Read More >
Physician Assistants MUST re-enroll with Blue Cross and BCN
In the August 2017 Record publication, it was announced that Physician Assistants must re-enroll to be reimbursed for services within their scope of license for dates of service on or after February 1, 2018.Read More >
Denied Auths will be reversed
Priority Health announced via email that denied auths will be reversed in addition to the Education and Pay Program with eviCore phase is starting.Read More >
Provider Self-Service Denial Tool
Launching, Friday, September 15, 2017, providers will have 24-hour access to denial information on both the transactional and public sides of the WPS GHA portal.Read More >
October 26-27, 2017 at Treasure Island ~ Las Vegas, Nevada
AMBA is having their 17th Annual National Medical Billing Conference - Don't Miss Out!Read More >
SIGMA Pay Cycle 40 Delay
Michigan Department of Health & Human Services (MDHHS) announced as part of the transition from the current State of Michigan (SOM) financial system, Michigan Administrative Information Network (MAIN), to Statewide Integrated Governmental Management Application (SIGMA), there will be a delay in payment and Remittance Advices.Read More >