New York
Provider Communications

Articles

Title Publication Category Date

2019 FEP Benefit information available online

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

2020 FEP Benefit information available online

January 2020 Empire Provider News Federal Employee Plan (FEP) Jan 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Empire Provider News Medicare Apr 1, 2020

2020 Network Changes

December 2019 Empire Provider News Administrative Dec 1, 2019

Access patient-specific drug benefit information through electronic medical records

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Access patient-specific drug benefit information through EMR

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Access requirements for Behavioral Healthcare services

September 2019 Empire Provider News Behavioral Health Sep 1, 2019

Acquisition of Beacon Health Options

May 2020 Empire Provider News Medicaid May 1, 2020

Additional improvements coming to empireblue.com

November 2019 Empire Provider News Administrative Nov 1, 2019

Additional Support Available for Members with Rare Conditions

August 2018 Empire Provider Newsletter Administrative Aug 1, 2018

AIM programs may require additional prior authorization documentation

June 2019 Empire Provider Newsletter Products & Programs Jun 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Empire Provider News Medicaid Aug 1, 2019

Ambulance Transportation - Professional

June 2019 Empire Provider Newsletter Reimbursement Policies Jun 1, 2019

Announcing a New Network - Connection

December 2019 Empire Provider News Administrative Dec 1, 2019

Anthem, Inc., Empire's parent company, has tapped Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Empire Network eUpdate Administrative Nov 1, 2018

Anthem, Inc., Empire’s parent company, acquires Beacon Health Options

April 2020 Empire Provider News Administrative Apr 1, 2020

Antibiotic dispensing guidelines

March 2020 Empire Provider News Medicaid Mar 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

January 2020 Empire Provider News Administrative Jan 1, 2020

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Empire Provider News Administrative Nov 1, 2019

Archived medical policy

August 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Aspire Telehealth Palliative Care program

October 2019 Empire Provider News Medicare Oct 1, 2019

ATTENTION! Availity launches additional changes to the new look to our Medical Attachment submission tool

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Attention: Revised New York State Department of Health Clauses for Managed Care Provider/IPA/ACO Contracts and Amendment

March 2020 Empire Provider News Administrative Mar 1, 2020

Attention: Updated or New Fee Schedules for Commercial products

August 2018 Empire Provider Newsletter Administrative Aug 1, 2018

Attention: Updated or New Fee Schedules for Commercial products - REVISED DATE

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Attention: updated physician lab fee schedules for Medicare Advantage products

October 2019 Empire Provider News Medicare Oct 1, 2019

Availity as Empire’s EDI Gateway

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Availity EDI Gateway Webinars Scheduled

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Availity is now our designated EDI Gateway

June 2018 Empire Provider Newsletter Administrative May 30, 2018

Availity providers can now receive and respond to medical record requests for post pay audit February 10, 2020

January 2020 Empire Provider News Administrative Jan 1, 2020

Availity to serve as EDI entry point for electronic submissions

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Be sure to verify your demographic information

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Behavioral health Discharge Action Plan: improving care transitions

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Behavioral health network provider training

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Blue Access Expands to Include Large Groups

December 2019 Empire Provider News Administrative Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Empire Provider News Medicare Nov 1, 2019

Body Mass Index (BMI) - Facility

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Bundled Services and Supplies - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Case Management Program

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Change coming to Claim Status Inquiry and Secure Messaging on the Availity Portal

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Changes to PA requirements

September 2019 Empire Provider News Medicare Sep 1, 2019

Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019

November 2019 Empire Provider News Administrative Nov 1, 2019

Changes to timely filing requirements for Medicare Advantage

July 2019 Empire Provider News Administrative Jul 1, 2019

Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

City of Cincinnati Retirement System to offer Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

Claim editing update for Excludes1 notes

September 2019 Empire Provider News Reimbursement Policies Sep 1, 2019

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

August 2019 Empire Provider News Pharmacy Aug 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical Criteria updates

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Clinical Criteria updates for specialty pharmacy are available

September 2019 Empire Provider News Pharmacy Sep 1, 2019

Clinical Guideline (CG-ANC-07) effective July 1, 2019

June 2019 Empire Provider Newsletter Policy Updates Jun 1, 2019

Clinical Guideline Update - June 2020

March 2020 Empire Provider News Medical Policy & Clinical Guidelines Mar 1, 2020

Clinical Guideline Updates

June 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines May 30, 2018

Clinical Laboratory Improvements Amendments for Empire

February 2020 Empire Provider News Reimbursement Policies Feb 1, 2020

Clinical practice and preventive health guidelines available on empireblue.com/provider

December 2019 Empire Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available online

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Clinical Validation - Professional

July 2019 Empire Provider News Administrative Jul 1, 2019

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

November 2019 Empire Provider News Medicare Nov 1, 2019

Coding Spotlight - Obesity

August 2018 Empire Provider Newsletter Medicaid Aug 1, 2018

Coding spotlight - provider’s guide to coding respiratory diseases

January 2020 Empire Provider News Medicaid Jan 1, 2020

Coding Spotlight: Cancer A provider’s guide to properly code cancers

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Coding spotlight: HIV and AIDS

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding Spotlight: Hypertension, A providers’ guide for coding

July 2019 Empire Provider News Medicaid Jul 1, 2019

Coding Spotlight: Pregnancy, A provider’s guide to diagnose and code for pregnancy

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Coding spotlight: substance use disorders and smoking

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Empire Provider News Administrative Dec 1, 2019
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