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DME Orthosis Prepay Notification

June 13, 2024

Thank you for your continued partnership with Wellcare. We are letting our providers know of new policies Wellcare will be implementing effective on or after June 15, 2024.

We are committed to continuously evaluating and improving the overall Payment Integrity solutions as required by state and federal governing entities.

Name

Description

Lines of Business

DME Orthosis

Enforcement of correct coding guidelines to deny complete bilateral procedure codes when billed incorrectly with the RT, LT, or 50 modifiers.

Medicare

Thank you for your collaboration and ongoing efforts to provide the best healthcare to our members.

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Y0020_WCM_134133E_M Last Updated On: 6/13/2024
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