Author Topic: wellcare medicare  (Read 1275 times)

bren57hca

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wellcare medicare
« on: August 30, 2019, 08:23:59 PM »
can anyone help me find or direct me to a list that I can get for my office for the front desk ladies to have for CPT codes that require auths  for  urology and gastro  offices?  I do the AR and denials and I get constant denials for no auth for the patients OVs for these specialist....

I want to be able to make them a sheet to go by

Michele

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Re: wellcare medicare
« Reply #1 on: September 02, 2019, 10:40:20 PM »
These requirements vary by plan so it would be impossible to have a generic list.  The best way to create a list is from the denials you are seeing. 
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EBurleyStill

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Re: wellcare medicare
« Reply #2 on: September 10, 2019, 03:25:11 PM »
Wellcare should have an authorization tool where a particular code can be keyed in to see if an auth is required.  The requirements change periodically so every so often look up your codes again. 

If you go to Wellcare.com & choose your state & Medicare you should be able to find this tool under the provider tab.  Amerigroup and others have this too.

Hope this is helpful!

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Re: wellcare medicare
« Reply #2 on: September 10, 2019, 03:25:11 PM »