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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
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

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