Payer Forum Question Form for January 2023

WMGMA members are invited to submit their quesitons for Wisconsin Payers.  PLEASE: NO PHI or other Patient Identifers

Timeline & Due Dates:

 
January 13, 2023 Questions Due for Payers from Members WMGMA Members
January 18, 2023 Questions Due to Payers WMGMA Executive Director
February 1, 2023 Responses from Payers due to WMGMA Payer Representatives

Please submit a separate form for each question!

Please Note:  You must attend the Payer Forum event to have your question reviewed/discussed, and be prepared to offer clarification.

Questions about the event?  Email WMGMA Executive Director:  Jean Thomas, CMPE | wmgma@wmgma.org

Question Submitted By
Your Name: *
Your Organization: *
Your Title: *
Best number to reach you in the event that clarification is needed: *
Your Email: *
Question Details
Question for: *
Third Party Payer
Medicaid
Medicare
Medicare Advantage
Other (Describe in next question)
Explain Other:
Question relates to: *
Facility
Professional
BOTH Facility AND Professional
Procedure code in question (if there is more than one, please submit a separate form):
Scenario that code is used in:
Provider types:
Additional Information:
Question:
Is your question prompted by:
New Service
General Policy/Coverage Research
Denials (If Denials please provide detail in next question)
If you answered 'Denials' in the previous question, please provide the denial code(s) being used:


Thank you for submitting your questions for the Wisconsin Payers.

Have questions?  Email WMGMA Executive Director:  Jean Thomas, CMPE | wmgma@wmgma.org