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Provider Communications

Articles

Title	Publication	Category	Date
COVID-19 Information repository for Empire Care Providers	May 2020 Empire Provider News	Administrative	May 1, 2020
Empire Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions	May 2020 Empire Provider News	Administrative	May 1, 2020
Quality Corner - Diabetes HbA1c<8 HEDIS Guidance	May 2020 Empire Provider News	Administrative	May 1, 2020
Medical Policy and Clinical Guideline updates	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Clinical Criteria updates for specialty pharmacy are available	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Reminder about System Updates	May 2020 Empire Provider News	Reimbursement Policies	May 1, 2020
Outpatient Surgical Grouper	May 2020 Empire Provider News	Reimbursement Policies	May 1, 2020
Correct Mailing Address for Federal Employee Program Paper Claims and Claims Related Correspondence	May 2020 Empire Provider News	Federal Employee Plan (FEP)	May 1, 2020
Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes	May 2020 Empire Provider News	Medicaid	May 1, 2020
Acquisition of Beacon Health Options	May 2020 Empire Provider News	Medicaid	May 1, 2020
Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes	May 2020 Empire Provider News	Medicare	May 1, 2020
Multi-dose packaging	May 2020 Empire Provider News	Medicare	May 1, 2020
Keep up with Medicare news	May 2020 Empire Provider News	Medicare	May 1, 2020
Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020) Empire hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.	COVID-19 Information	Administrative	Apr 28, 2020
Federal Resources Available for Care Providers and Employers in the Federal CARES Act During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Empire has complied information on programs we have learned about that could provide additional financial relief during this crisis.	COVID-19 Information	Administrative	Apr 15, 2020
Patient Cost-Sharing for Laboratory Tests to Diagnose COVID-19, Provider Visits to Diagnose COVID-19, and all Telehealth Services	COVID-19 Information	Administrative	Apr 6, 2020
Empire to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefit	COVID-19 Information	Pharmacy	Apr 1, 2020
Level of Care medical necessity reviews for upper and lower endoscopy procedures begin July 1, 2020	April 2020 Empire Provider News	Products & Programs	Apr 1, 2020
Empire prior authorization updates for specialty pharmacy are available	April 2020 Empire Provider News	Pharmacy	Apr 1, 2020
Pharmacy information available on empireblue.com	April 2020 Empire Provider News	Pharmacy	Apr 1, 2020
Information from Empire for Care Providers about COVID-19	April 2020 Empire Provider News	Administrative	Apr 1, 2020
Anthem, Inc., Empire’s parent company, acquires Beacon Health Options	April 2020 Empire Provider News	Administrative	Apr 1, 2020
Provider Transparency Update	April 2020 Empire Provider News	Administrative	Apr 1, 2020
Empire continues focus on updates to our public provider website	April 2020 Empire Provider News	Administrative	Apr 1, 2020
MCG Care Guidelines 24th Edition	April 2020 Empire Provider News	Administrative	Apr 1, 2020
Policy Updates	April 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Apr 1, 2020
HEDIS 2020 Federal Employee Program® medical record request requirements	April 2020 Empire Provider News	Federal Employee Plan (FEP)	Apr 1, 2020
Prior authorization requirements: new 2020 codes for coverage and precertification	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Medical drug benefit Clinical Criteria updates (November 2019)	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Medical drug benefit Clinical Criteria updates (December 2019)	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Update to corrected claims filing guidelines	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Use of Imaging Studies for Low Back Pain (LBP)	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Disease Management can help you care for patients with chronic health care needs	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Appointment access standards for PCPs, specialty care and behavioral health practitioners	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Keep up with Medicaid news	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Medical drug benefit Clinical Criteria updates (November 2019)	April 2020 Empire Provider News	Medicare	Apr 1, 2020
Medical drug benefit Clinical Criteria updates (December 2019)	April 2020 Empire Provider News	Medicare	Apr 1, 2020
2020 Medicare risk adjustment provider trainings	April 2020 Empire Provider News	Medicare	Apr 1, 2020
Keep up with Medicare news	April 2020 Empire Provider News	Medicare	Apr 1, 2020
Empire Suspends Certain Authorization Requirements to Aid NYS COVID-19 Response	COVID-19 Information	Administrative	Mar 27, 2020
Updated COVID-19 Medicare and Medicaid Information For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19 and Important Medicare Advantage Updates.	COVID-19 Information	State & Federal	Mar 25, 2020
Anthem, Inc. acquires Beacon Health Options	N/A	Administrative	Mar 2, 2020
Clinical Criteria updates for specialty pharmacy are available	March 2020 Empire Provider News	Pharmacy	Mar 1, 2020
Pharmacy information available on empireblue.com	March 2020 Empire Provider News	Pharmacy	Mar 1, 2020
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
Provider News Site Enhancements	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Physician Access/Appointment Availability Standards General Availability Standards	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Patient360 Enhancement for Medical Providers	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2020	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Modifier use reminders	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Important coding reminder for Walk-In Retail Health Clinics	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Clinical Guideline Update - June 2020	March 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Mar 1, 2020
Antibiotic dispensing guidelines	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Coding spotlight: HIV and AIDS	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Reminder: Mid-level practitioners are required to file using their NPI	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Coding tip for psychological and neuropsychological testing	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Keep up with Medicaid news	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Non-preferred products and corresponding preferred alternatives	March 2020 Empire Provider News	Medicare	Mar 1, 2020
Reminder: Mid-level practitioners are required to file using their NPI	March 2020 Empire Provider News	Medicare	Mar 1, 2020
Reimbursement Policy Update - Multiple and Bilateral Surgery: Professional and Facility	March 2020 Empire Provider News	Medicare	Mar 1, 2020
Keep up with Medicare news	March 2020 Empire Provider News	Medicare	Mar 1, 2020
Shine Light on Depression: school-based suicide prevention initiative	February 2020 Empire Provider News	Behavioral Health	Feb 1, 2020
Pharmacy Prior Authorization processing to transition to Empire's Pharmacy Benefit Manager: IngenioRx, Inc.	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
Empire to update formulary lists for commercial health plan pharmacy benefit	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
Clinical Criteria updates for specialty pharmacy are available	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
NYSHIP (New York State Health Insurance Program) change in immunization claim submissions	February 2020 Empire Provider News	Administrative	Feb 1, 2020
Empire SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020	February 2020 Empire Provider News	Administrative	Feb 1, 2020
Medical Policy and Clinical Guideline updates	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Clinical Laboratory Improvements Amendments for Empire	February 2020 Empire Provider News	Reimbursement Policies	Feb 1, 2020
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (Effective 05/01/20)	February 2020 Empire Provider News	Medicaid	Feb 1, 2020
Resources to support your diverse patient panel	February 2020 Empire Provider News	Medicaid	Feb 1, 2020
Non-covered codes for Medicaid Managed Care (MMC) providers	February 2020 Empire Provider News	Medicaid	Feb 1, 2020
Keep up with Medicaid news	February 2020 Empire Provider News	Medicaid	Feb 1, 2020
Postponed - Review of professional claims with emergency room level 5 E/M codes	February 2020 Empire Provider News	Medicare	Feb 1, 2020
Medicare Advantage Outpatient Rehabilitation Program transition information	February 2020 Empire Provider News	Medicare	Feb 1, 2020
Reimbursement Policy Update: Modifier 62: Co-Surgeons (Effective 05/01/2020)	February 2020 Empire Provider News	Medicare	Feb 1, 2020
Reimbursement Policy Update: Multiple and Bilateral Surgery: Professional and Facility Reimbursement (Policy 06-010, effective 05/01/20)	February 2020 Empire Provider News	Medicare	Feb 1, 2020
General Building Laborers' Local 66 Welfare Fund offers Medicare Advantage option	February 2020 Empire Provider News	Medicare	Feb 1, 2020
Keep up with Medicare news	February 2020 Empire Provider News	Medicare	Feb 1, 2020
New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020	January 2020 Empire Provider News	Products & Programs	Jan 1, 2020
Postponed: Review of professional claims with emergency room level 5 E/M codes	January 2020 Empire Provider News	Administrative	Jan 1, 2020
NYSHIP (New York State Health Insurance Program) change in Hyperbaric Oxygen Therapy claim submissions	January 2020 Empire Provider News	Administrative	Jan 1, 2020
The New Year brings New ID Cards for Many Empire Members	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Appointment access standards for PCPs, specialty care and behavioral health practitioners	January 2020 Empire Provider News	Administrative	Jan 1, 2020
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
Upcoming retirement planned for legacy Medical Attachment submission tool	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Let Us Help You Accomplish Your 2020 “To Do List” Early - EDI Migration	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Remittance Inquiry Tool Reminder	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair	January 2020 Empire Provider News	Policy Updates	Jan 1, 2020
Reimbursement Policy update - Outpatient Facility Edit Implementation	January 2020 Empire Provider News	Reimbursement Policies	Jan 1, 2020
2020 FEP Benefit information available online	January 2020 Empire Provider News	Federal Employee Plan (FEP)	Jan 1, 2020
Verifying and updating your provider information	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Improving the patient experience	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Medical drug benefit Clinical Criteria updates - August 2019	January 2020 Empire Provider News	Medicaid	Jan 1, 2020

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