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Network Engagement Hot Topics

Health care is a dynamic industry and Wellmark is an equally dynamic company. To keep you updated on the most important changes that affect you, please check this page regularly.

 

Hot topics for April include:

 

ICD-10 delay announced

On April 1, President Barack Obama signed the "Protecting Access to Medicare Act of 2014" bill, which postpones the ICD-10 compliance deadline to no earlier than October 1, 2015.  At the time of writing this article, we do not yet have specific direction from CMS regarding the delay.  Wellmark has begun analyzing how the delay will impact our ICD-10 program delivery.  Watch for future Hot Topics for updates once changes are announced.

 

Wellmark’s deadline for submitting the new CMS 1500 form version extended due to ICD-10 delay

Wellmark has made the business decision to continue to allow submissions of the CMS 1500 form (version 08/05) until further notice. Wellmark does, however, encourage you to begin using the new version (02/12) as soon as possible. For more information, visit the ICD-10 webpage.

 

Forget the faxes and postage; simply upload your files and submit your inquiry

Check out the enhanced Ask and Track a Question tool available on Wellmark.com. This tool is designed to make your job easier. You can now conveniently attach supporting documents directly to your web inquiry. For more information, see the new instructional video and March 5 webinar.

 

Health Care Reform updates

Did you know that you can stay up-to-date with Affordable Care Act (ACA) news on our website? Visit the Health Care Reform link on Wellmark.com to stay informed.

 

Wellmark wants to hear from YOU

Become a member of the Provider Experience Council! As a member you have the ability to share your opinion through online surveys. Help Wellmark better help you by joining the Provider Experience Council today!

 

Avoid denials for Medicare secondary payer claims

Due to Medicare Sequestration processing, Wellmark has internal processing guidelines that will identify claims that do not have detailed Medicare Sequestration dollars billed on the Medicare Remittance Notice (MRN). If the MRN shows a CAS code CO-223 or CO-253 with no specific dollars associated with it, the entire claim will be rejected X304. Please refer to Claims Filing Guide and page 2 of the Feb 2014 BlueInk for more information.

 



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