2022
- CPP 161: Polymerase Chain Reaction Respiratory Viral Panel Testing
- Guidance on Effective Date for Legacy Wellcare Medicare ID Cards
- Special Needs Plan Model of Care Self-Study Program
- Medicare Part B Drugs List: Effective January 1, 2023 (Appendix A)
- Medicare Prior Authorization Change Summary: Effective January 1, 2023
- CMS Lab Ordering Guidelines Reminder
- Sneak Preview of 2023 Improvements
- Medicare Provider CMS NPPES Program Update
- InterQual Criteria Rollout: Effective August 1, 2022
- Peer-to-Peer Review Request Requirement Changes Effective September 1, 2022
- Prior Authorization Change Summary: Effective July 1, 2022
- Prior Authorization Requirement Updates: Effective March 1, 2022
- Medicare Billing Tips for Transplant Service Claims
2021
- Medicare Billing Updates Effective January 01, 2022
- 2022 Formulary Update Notification
- Wellcare’s Provider Portal – Providers love our Live Chat!
- New Ophthalmology Medical Necessity Payment Policies
- Wellcare’s Provider Portal – Now with Improved Live Chat
- Epocrates Point of Care Formulary Information Tools
- Provider IVR Claims Menu Redesign
- New Portal Features: iCarePath Claim Appeals and Disputes
2020
- Claims and Payment Policy: Review of NOS, NEC, & Unlisted Codes
- New Prepay Edits: Institutional Ambulance Claims
- Prepayment Clinical Validations Edit Policy
- Comprehensive Eye Exam Claim & Payment Policy
- $0 Member Liability extended for select services until end of 2020
- CPP 145: Incorrect Billing for Severe Malnutrition Policy
- New Portal Features: Edit authorizations, add attachments, and more!
- Prior Authorization Updates: Wound Care & Skin Substitutes
