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News

This page offers up-to-date news that affects providers. This online news information source supplements Wellmark’s printed bimonthly newsletter, Blue Ink.

 

Topics of Interest in Wellmark’s April Blue Ink
April 15, 2013
The online issue of the April Blue Ink is available.

February Blue Ink Available
February 19, 2013
The online issue of the February Blue Ink is available.

December Blue Ink Available
December 12, 2012
The online issue of the December Blue Ink is available.

October Blue Ink Available
October 24, 2012
The online issue of the October Blue Ink is available.

December 15 New Date For Pre-Service Online Tool
October 5, 2012
The go-live date for the online utilization management tool for completing pre-service review requests or notifications is now December 15, 2012.

MedicareBlueSM PPO Non-Renewal Notices 

September 21, 2012

MedicareBlue PPO will not renew its contract with the Centers for Medicare & Medicaid Services (CMS) for 2013.

New Ancillary Claims Guidelines

September 20, 2012
Learn about the new ancillary claims guidelines for durable medical equipment suppliers, independent clinical laboratories, and orthotics and prosthetics.

August Blue Ink Available
August 16, 2012
The online issue of the August Blue Ink is available and offers benefits not available in a paper copy.

Look Up iCAP Script, Rationale

July 24, 2012

The claims inquiry online tool now includes iCAP script and rationale narratives.

Electronic Claim COB Training Coming Soon!
July 18, 2012
Wellmark will host a series of Electronic Claim Coordination of Benefits (COB) training classes in September.  

June Blue Ink Available
July 2, 2012
The online issue of the June Blue Ink is available and offers benefits not available in a paper copy.
New Medical Policy 
July 2, 2012

The use of compounded bioidentical hormone replacement therapy to treat the symptoms of menopause will be considered investigational starting October 1, 2012.

Supreme Court Upholds the Affordable Care Act
June 28, 2012
The Supreme Court of the United States today upheld the health care reform Affordable Care Act (ACA), signed into law on March 23, 2010.

Wellmark to Stop Accepting HIPAA 4010 Files 
June 1, 2012
Effective June 15, 2012, Wellmark will no longer accept any ASC X12 Version 4010 files. 
Phone System Enhancements
May 31, 2012
Starting June 1, providers will be asked some initial questions when calling Provider Service.
Two New Medical Policies 
May 22, 2012
Two new medical policies have been added:  1) Air ambulance; 2) Exhaled nitric oxide and exhaled breath condensate for asthma and other respiratory disorders.
Webinar: Pre-Service Review Changes
May 10, 2012 

Register for a webinar to learn about changes Wellmark is making to its utilization management program.
April’s Blue Ink Available
April 19, 2012
The online issue of the April Blue Ink is available and offers benefits not available in a paper copy.
Create and Submit Tool Training Sessions
April 16, 2012
Register for a training session to learn about upcoming changes and new functionality to the Create and Submit Claims tool.
Two Medical Policies Removed
March 9, 2012

Bariatric Surgery for Morbid Obesity and Rhinoplasty or Septorhinoplasty Medical Policies have been removed.

 
February’s Blue Ink Available
February 14, 2012
The online issue of the February Blue Ink is available and offers benefits not available in a paper copy.
March is National Colorectal Cancer Awareness Month
February 10, 2012
According to the Centers for Disease Control and Prevention, colorectal cancer screening is the second leading cause of cancer deaths in the United States despite the availability of effective screening tests.

New ICD-10 Web Page
February 1, 2012
The new site provides links to a number of documents and includes information about Wellmark’s implementation plans

Upcoming Webinars for Providers
January 31, 2012
Beginning on February 8, 2012, Wellmark will offer free webinars to providers and their staff.

Increase in Phone Volume Causing Phone Delays
January 12, 2012
Because Wellmark is currently experiencing higher than normal call volume, please review service options that may save your staff some valuable time.

2012 Molecular Pathology Code Sets not Recognized
January 3, 2012
Continue filing claims using CPT®* codes 83890–83914 at this time.

Preauthorization Discontinued for Resting TTE
December 23, 2011
Wellmark no longer requires preauthorization of Resting Transthoracic Echocardiography (TTE) procedures beginning with date of service January 1, 2012.
Removing Fax Option for Radiology Preauthorizations
December 19, 2011
To improve our response time to the outpatient diagnostic imaging preauthorization requests, Wellmark Blue Cross and Blue Shield will discontinue the fax option for submitting these requests beginning January 1, 2012.

Blue InkSM Newsletter


Current and archived issues of our bimonthly newsletter in a PDF format.

 
  News Archives
Administration & Policy
»   Updated Wellmark Health Maintenance Guideline (12/19/11)
»   New Network Engagement Team Announced (10/21/11)
»   Survey Now Posted with August’s Blue Ink (08/09/11)
»   Precertify FEP Hospital Admissions (06/24/11)
»   View New Clinician Fee Schedules (4/29/11) 
» New Provider Pages (01/28/11)
Claims & Coding
»   Oncology Revenue Codes Require CPT Code (06/09/11)
»   Correct Institutional Claims Electronically (04/29/11) 
»   Updated Immunization Administration Codes (02/03/11) 
»   Fractional Mileage on Ambulance Claims (01/07/11) 
»   Billing Influenza Vaccines after January 1 (01/07/11) 
Clinical Quality
»   Share Lifestyle Prescriptions with Your Patients (03/17/11)
E-Business
»   Urgent HIPAA 5010 Update (12/06/11)
»   Online Tool Educates Members on Cost of Care (11/30/11)
»   Version 5010 Testing Begin (04/11/11)
Iowa Only
»   New Iowa Legislation Expands Coverage of Diabetic Supplies (08/25/11)
Pharmacy
»   How Generic Lipitor will Process for Members (12/01/11)
»   Asthma Step Therapy Program begins October 1 (9/22/11)
»   Hy-Vee Pharmacy Solutions Added as a Preferred Specialty Pharmacy Provide (09/22/11)

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