RAC Alert: Erroneous ADR Letters Sent by WPS GHA

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Original story posted on: August 24, 2018

Error reported by WPS/GHA  might have nationwide ramifications.

Medicare Administrative Contractor (MAC) WPS GHA today confirmed that an enhancement to its Fiscal Intermediary Shared System (FISS) caused erroneous additional documentation request (ADR) letters to be sent to providers.

In a posting to its website, WPS GHA reported that the error occurred Aug. 6, but its system was updated on Aug. 17, adding that ADRs now are “ordering appropriately.” WPS GHA is the Part A MAC for regions J5 and J8 and include providers in Idaho, Kansas, Missouri, Indiana, Mississippi, and Nebraska.

“Providers should monitor ADRs generated between August 6, 2018, and August 17, 2018,” WPS GHA said, noting that it is “working with the FISS maintainers to identify the claims that have received an erroneous letter, and WPS GHA will override those claims manually.”

Ronald Hirsch, MD told RACmonitor that he hopes hospitals will not expend too much effort sending out charts that were requested in error.

Chuck Buck

Chuck Buck is the publisher of RACmonitor and is the program host and executive producer of Monitor Monday.

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