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Medicaid
Medicare
- Wellcare’s Provider Portal – Providers love our Live Chat!
- New Ophthalmology Medical Necessity Payment Policies
- MS-DRG Prepayment Coding Edits
- New Somatus Care Management Program for patients with CKD/ESRD
- Claims and Payment Policy: Ultrasound in Pregnancy
- WellCare’s Provider Portal – Now with Improved Live Chat
- Claims and Payment Policy: Polymerase Chain Reaction Respiratory Viral Panel Testing
- Claims and Payment Policy: NICU Level of Care Authorization and Reimbursement Matching
- Point of Care Formulary Information Tools
- Provider IVR Claims Menu Redesign
- Updates to Prior Authorization Requirements: Wound Care and Skin Substitutes
- New Portal Features: iCarePath Claim Appeals and Disputes
- Clinical Coverage Guideline: Short Inpatient Hospital Stays
- 12092020 New Prepay Edits: Institutional Ambulance Claims
- Prepayment Clinical Validations Edit Policy (Effective 10012020)
- WellCare Quality Education Series
- 10242020 Appropriate Place of Service (POS) Billing (Effective 11262020)
- 09152020 Comprehensive Eye Exam Claim & Payment Policy (Effective 10152020)
- WellCare Extends $0 Member Liability for Primary Care, Behavioral Health, and Telehealth Services for Remainder of 2020
- Claims & Payment Policy 145: Incorrect Billing for Severe Malnutrition: Eff. 11/01/20
- New Portal Features: Edit your authorization online, add attachments, get real-time status and more
- CHFS offers resources for diagnosis/treatment of 2019-nCoV (Novel Coronavirus)
- Claims & Payment Policy (#133): 340B Drug Payment Reduction Policy
- New Medicare ID cards for 2020
- Medicare Milliman Clinical Guidelines (MCG) Rollout
- Updates to Prior Authorization Requirements
- Dialysis Claims Payment Policy
- New Urine Drug Testing Guidelines
- Annual Wellness visit and Additional Annual Physical Coding Refresher
- Readmission Policy Update
- Important Update to the Clinical Coverage Guideline for Post-Acute Care
- Prior Authorization Requirements
- Dual SNP Cost Share Update
- HealthHelp
- New Medicare Cards
- Exciting Authorization Rule Enhancements
- Your Partner in Quality Care
- Pharmacy Benefit Manager Effective January 1, 2016
- ICD-10 Transition Effective October 1, 2015
- Inpatient Readmissions Policy
- Coding Reminder: Modifier 25
- Reducing Low Value Care Screenings Claims Edit Guidelines Policy
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