New York
Provider Communications

Articles

Title Publication Category Date

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge Administrative Oct 21, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - New York Administrative Oct 5, 2021

Familiarize yourself with Empire’s Simplified Networks

October 2021 Newsletter Administrative Oct 1, 2021

Meet Dr. Carolyn Langer, Empire’s new Chief Medical Officer

October 2021 Newsletter Administrative Oct 1, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Newsletter Administrative Oct 1, 2021

Clarification: Empire’s enhanced claim edits for outpatient facility claims

October 2021 Newsletter Administrative Oct 1, 2021

Provider claim payment disputes for Empire’s Commercial lines of business

October 2021 Newsletter Digital Tools Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Newsletter Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

October 2021 Newsletter Administrative Oct 1, 2021

Looking to earn continuing medical education credits? Register for these on-demand webinars

October 2021 Newsletter Administrative Oct 1, 2021

Clinical appeals

October 2021 Newsletter Administrative Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Newsletter Digital Tools Oct 1, 2021

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers – replacing CAQH Enrollhub effective November 1, 2021

October 2021 Newsletter Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Newsletter Digital Tools Oct 1, 2021

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
October 2021 Newsletter Pharmacy Oct 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022

Material adverse change (MAC) notification

October 2021 Newsletter Pharmacy Oct 1, 2021

Specialty pharmacy updates - October 2021

Material adverse change (MAC) notification
October 2021 Newsletter Pharmacy Oct 1, 2021

Pharmacy information available on empireblue.com

October 2021 Newsletter Pharmacy Oct 1, 2021

Medical policy and clinical guideline updates

Material adverse change (MAC) notification

October 2021 Newsletter Medical Policy & Clinical Guidelines Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Newsletter Medicaid Oct 1, 2021

Diabetes testing and screening HEDIS measures

October 2021 Newsletter Medicaid Oct 1, 2021

New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)

October 2021 Newsletter Medicaid Oct 1, 2021

FAQ: Update to AIM phone number

October 2021 Newsletter Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy IV

October 2021 Newsletter Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy V

October 2021 Newsletter Medicaid Oct 1, 2021

Keep up with Medicaid news - October 2021

View these Medicaid articles:
  • 2021 affirmative statement concerning utilization management decisions
  • May 2021 Medical Policies and Utilization Management Guidelines update
October 2021 Newsletter Medicaid Oct 1, 2021

Webinars for City of New York retirees transitioning to new Medicare Advantage plan

October 2021 Newsletter Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Newsletter Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Newsletter Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Newsletter Medicare Oct 1, 2021

New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)

October 2021 Newsletter Medicare Oct 1, 2021

New Medical Step Therapy Requirements

October 2021 Newsletter Medicare Oct 1, 2021

Keep up with Medicare news - October 2021

View these Medicare articles:
  • 2021 affirmative statement concerning utilization management decisions
  • May 2021 Medical Policies and Utilization Management Guidelines update
October 2021 Newsletter Medicare Oct 1, 2021

Register today for the Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children forum on September 29, 2021

Join us to hear from a diverse panel of experienced Motivo and Empire professionals about the impact of racial trauma on the health and wellbeing on children and adolescents.

Racial Trauma & Children Administrative Sep 15, 2021

Register now for our September CME webinars!

September 2021 Newsletter Administrative Sep 1, 2021

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
September 2021 Newsletter Administrative Sep 1, 2021

6 SIMPLE strategies to help increase medication adherence

September 2021 Newsletter Administrative Sep 1, 2021

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics

September 2021 Newsletter Administrative Sep 1, 2021

National Accounts 2022 Pre-certification list

September 2021 Newsletter Administrative Sep 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

September 2021 Newsletter Administrative Sep 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers - replacing CAQH Enrollhub effective November 1, 2021.

September 2021 Newsletter Digital Tools Sep 1, 2021

Updates for specialty pharmacy are available - September 2021

Material adverse change (MAC) notification

September 2021 Newsletter Pharmacy Sep 1, 2021

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
September 2021 Newsletter Pharmacy Sep 1, 2021

Reimbursement policy update: Sexually Transmitted Infections Testing (Professional)

Material adverse change (MAC) notification

September 2021 Newsletter Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Drug Screen Testing (Professional)

Material adverse change (MAC) notification
September 2021 Newsletter Reimbursement Policies Sep 1, 2021

Reimbursement policy reminder Professional Anesthesia Services (Professional)

September 2021 Newsletter Reimbursement Policies Sep 1, 2021

Federal Employee Program® AIM Radiology prior authorization review transition delayed until November

Material adverse change (MAC) notification

September 2021 Newsletter Federal Employee Plan (FEP) Sep 1, 2021

Keep up with Medicaid news - September 2021

View these Medicaid article: 
  • Clinical Criteria Updates Notification May 2021
  • Iron Infusion Step Therapy
  • Iron Infusion Prior Authorization Update
September 2021 Newsletter Medicaid Sep 1, 2021

City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option

September 2021 Newsletter Medicare Sep 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers (Effective 11/30/21)

September 2021 Newsletter Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Newsletter Medicare Sep 1, 2021

Prior authorization/Precertification form notification

September 2021 Newsletter Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:

  • Clinical Criteria Updates Notification May 2021
September 2021 Newsletter Medicare Sep 1, 2021

2021 Provider Manual now available

August 2021 Newsletter Administrative Aug 1, 2021

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2021 Newsletter Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Newsletter Administrative Aug 1, 2021

Register now for our August CME webinars

August 2021 Newsletter Administrative Aug 1, 2021

Digital scheduling feature in the Availity Portal: the Appointment Scheduler application

August 2021 Newsletter Digital Tools Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Newsletter Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Newsletter Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Newsletter Pharmacy Aug 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification

August 2021 Newsletter Pharmacy Aug 1, 2021

Empire to update formulary lists for commercial health plan pharmacy benefit

August 2021 Newsletter Pharmacy Aug 1, 2021

Updates for specialty pharmacy effective November 1, 2021

August 2021 Newsletter Pharmacy Aug 1, 2021

Pharmacy information available on empireblue.com

August 2021 Newsletter Pharmacy Aug 1, 2021

Transition to AIM Specialty Health Imaging of the Heart clinical appropriateness guideline for Computed Tomography to detect coronary artery calcification

August 2021 Newsletter Medical Policy & Clinical Guidelines Aug 1, 2021

Medical policy and clinical guideline updates

Material adverse change (MAC) notification
August 2021 Newsletter Medical Policy & Clinical Guidelines Aug 1, 2021

Inpatient Readmission (Facility)

August 2021 Newsletter Reimbursement Policies Aug 1, 2021

Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU

Material adverse change (MAC) notification
August 2021 Newsletter Reimbursement Policies Aug 1, 2021

Virtual Visits - Professional and Facility

Material adverse change (MAC) notification

August 2021 Newsletter Reimbursement Policies Aug 1, 2021

Change in email submission of service requests for Federal Employee Program members

Material adverse change (MAC) notification
August 2021 Newsletter Federal Employee Plan (FEP) Aug 1, 2021

Keep up with Medicaid news

August 2021 Newsletter Medicaid Aug 1, 2021

City of New York offers Medicare Advantage option in 2022

August 2021 Newsletter Medicare Aug 1, 2021

Preventing claims denials: Shingles vaccine

August 2021 Newsletter Medicare Aug 1, 2021

Policy reminder: Inpatient Readmissions

August 2021 Newsletter Medicare Aug 1, 2021

Keep up with Medicare news

August 2021 Newsletter Medicare Aug 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET


10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET


6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET


Register Now!


Clinical Quality CME Webinar Series Continues - New York Administrative Jul 28, 2021

Blue Precision program to be retired at the end of the year

July 2021 Newsletter Products & Programs Jul 1, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021

Material adverse change (MAC) notification

July 2021 Newsletter Products & Programs Jul 1, 2021

AIM Rehabilitative program - initial evaluations and site of service reviews

July 2021 Newsletter Products & Programs Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Pharmacy Jul 1, 2021

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
July 2021 Newsletter Pharmacy Jul 1, 2021

Updates for specialty pharmacy are effective October 1, 2021

Material adverse change (MAC) notification
July 2021 Newsletter Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates effective October 1, 2021

Material adverse change (MAC) notification
July 2021 Newsletter Pharmacy Jul 1, 2021

Surgical Clinical Site of Care review updates

July 2021 Newsletter Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

July 2021 Newsletter Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

July 2021 Newsletter Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Newsletter Administrative Jul 1, 2021

Register now to learn strategies to help you and your practice improve clinical quality

July 2021 Newsletter Administrative Jul 1, 2021

Commercial Repapering: Important update

July 2021 Newsletter Administrative Jul 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Newsletter Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Newsletter Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Newsletter Digital Tools Jul 1, 2021

Medical policy updates and clinical guideline updates

Material adverse change (MAC) notification
July 2021 Newsletter Medical Policy & Clinical Guidelines Jul 1, 2021

New reimbursement policy: Non-patient Laboratory Services (Facility)

Material adverse change (MAC) notification
July 2021 Newsletter Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Consultations (Professional)

Material adverse change (MAC) notification
July 2021 Newsletter Reimbursement Policies Jul 1, 2021

Federal Employee Program® AIM Radiology prior authorization review

Material adverse change (MAC) notification
July 2021 Newsletter Federal Employee Plan (FEP) Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

July 2021 Newsletter Medicaid Jul 1, 2021

Let’s Vaccinate

July 2021 Newsletter Medicaid Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (Effective 10/01/21)

July 2021 Newsletter Medicaid Jul 1, 2021
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