New York
Provider Communications

Articles

Title	Publication	Category	Date
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
Medical drug benefit Clinical Criteria - September 2019	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Medical Policies and Clinical Utilization Management Guidelines update	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Coding spotlight - provider’s guide to coding respiratory diseases	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Medicare preferred continuous glucose monitors	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Help protect your patients by providing medical ID protection - best practices	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Reminder to Medicare Advantage providers	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Healthcare Quality Patient Assessment Form and Patient Assessment Form	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Medical drug benefit Clinical Criteria updates	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Electric Boat offers Medicare Advantage options	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Keep up with Medicare News	January 2020 Empire Provider News	Medicare	Jan 1, 2020
REMINDER: New AIM Rehabilitative Program effective November 1, 2019	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Case Management Program	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Pharmacy information available on empireblue.com	December 2019 Empire Provider News	Pharmacy	Dec 1, 2019
Clinical Criteria updates for specialty pharmacy are available	December 2019 Empire Provider News	Pharmacy	Dec 1, 2019
2020 Network Changes	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Announcing a New Network - Connection	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Blue Access Expands to Include Large Groups	December 2019 Empire Provider News	Administrative	Dec 1, 2019
New - Individual Network	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Coding Tip for Psychological and Neuropsychological Testing	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Empire Works to Simplify Payment Recovery Process for National Accounts Membership	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Empire BCBS HealthPlus to be removed from Availity’s Payer Menu	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Retrieve your Empire Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Coordination of Care	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Important Information about Utilization Management	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Members’ Rights and Responsibilities	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Clinical practice and preventive health guidelines available on empireblue.com/provider	December 2019 Empire Provider News	Administrative	Dec 1, 2019
New Reimbursement Policy Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers (Professional)	December 2019 Empire Provider News	Reimbursement Policies	Dec 1, 2019
System updates for 2020 - Professional	December 2019 Empire Provider News	Reimbursement Policies	Dec 1, 2019
Coordination of Benefits for an FEP® member	December 2019 Empire Provider News	Federal Employee Plan (FEP)	Dec 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	December 2019 Empire Provider News	Medicare	Dec 1, 2019
City of Cincinnati Retirement System to offer Medicare Advantage option	December 2019 Empire Provider News	Medicare	Dec 1, 2019
East End Health Plan offers Medicare Advantage option	December 2019 Empire Provider News	Medicare	Dec 1, 2019
Provider training series	December 2019 Empire Provider News	Medicare	Dec 1, 2019
Reminder about AIM’s new Rehabilitative Program effective November 1, 2019	November 2019 Empire Provider News	Products & Programs	Nov 1, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020	November 2019 Empire Provider News	Pharmacy	Nov 1, 2019
Prior authorization updates for specialty pharmacy are available	November 2019 Empire Provider News	Pharmacy	Nov 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
Additional improvements coming to empireblue.com	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Appropriate coding helps provide a comprehensive picture of patients’ health	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Medical Policy & Clinical Guideline updates	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Spine Surgery Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Keep up with Medicaid news	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
CMS reminder: expedited/urgent requests	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Keep up with Medicare news	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Get the latest critical information from Empire that impacts you; View Provider News for easy access at your fingertips	Critical information from Empire	Administrative	Oct 8, 2019
UPDATE: New AIM Rehabilitative Program will begin November 1, 2019	October 2019 Empire Provider News	Products & Programs	Oct 1, 2019
Empire specialty pharmacy medical step therapy drug list - clarification	October 2019 Empire Provider News	Pharmacy	Oct 1, 2019
Important update to Empire’s commercial drug lists	October 2019 Empire Provider News	Pharmacy	Oct 1, 2019
Empire launches additional changes to empireblue.com/provider	October 2019 Empire Provider News	Administrative	Oct 1, 2019
National Accounts 2020 Pre-certification list	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Empire CRA Reporting Update: Retrospective Program continues	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Empire engages Matrix to conduct mobile health clinics and in-home assessments for targeted members	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Reimbursement Policy update	October 2019 Empire Provider News	Reimbursement Policies	Oct 1, 2019
Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review	October 2019 Empire Provider News	Federal Employee Plan (FEP)	Oct 1, 2019
Pre-certification information for the Federal Employee Program	October 2019 Empire Provider News	Federal Employee Plan (FEP)	Oct 1, 2019
US Antibiotic Awareness Week is November 11-18, 2019	October 2019 Empire Provider News	Federal Employee Plan (FEP)	Oct 1, 2019
Aspire Telehealth Palliative Care program	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Attention: updated physician lab fee schedules for Medicare Advantage products	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update - June 2019	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Update: 2019 risk adjustment provider training	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Lowering health risks with no-cost statins	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Prior authorization requirements changes effective November 1, 2019	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update - March 2019	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
New clinical guideline: pneumatic compression devices, effective December 1, 2019	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
Medical drug Clinical Criteria updates	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
Clinical Criteria and Prior Authorization updates for specialty pharmacy are available	September 2019 Empire Provider News	Pharmacy	Sep 1, 2019
Access requirements for Behavioral Healthcare services	September 2019 Empire Provider News	Behavioral Health	Sep 1, 2019
Reminder: Changes to timely filing requirements for Medicare Advantage	September 2019 Empire Provider News	Administrative	Sep 1, 2019
PCP after-hours access requirements	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Empire launches Sydney on September 1; New app offers better digital health care support to members	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Reminder about lab services for Suffolk County members	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Empire CRA Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Provider Transparency Update	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Policy updates	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019

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