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Provider Communications

Articles

Title Publication Category Date

Clinical Criteria updates for specialty pharmacy are available

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Clinical Criteria updates for specialty pharmacy are available

December 2019 Empire Provider News Pharmacy Dec 1, 2019

Clinical Criteria updates for specialty pharmacy are available

February 2020 Empire Provider News Pharmacy Feb 1, 2020

Clinical Criteria updates for specialty pharmacy are available

March 2020 Empire Provider News Pharmacy Mar 1, 2020

Clinical Criteria updates for specialty pharmacy are available

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Clinical Criteria updates for specialty pharmacy are available

June 2020 Empire Provider News Pharmacy Jun 1, 2020

Clinical Criteria updates for specialty pharmacy are available

July 2020 Empire Provider News Medical Policy & Clinical Guidelines Jul 1, 2020

Clinical Criteria updates for specialty pharmacy are available

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change
October 2020 Empire Provider News Medical Policy & Clinical Guidelines Oct 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Pharmacy Nov 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Pharmacy Jan 1, 2021

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 Guideline Updates

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

Clinical Guideline Updates

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical Guideline Updates

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical Guideline Updates

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical Guideline Updates

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) Number – Additional Information

November 2020 Empire Provider News Administrative Nov 1, 2020

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

December 2020 Empire Provider News Administrative Dec 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 practice and preventive health guidelines available online

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Clinical practice and preventive health guidelines available online

February 2019 Empire Provider Newsletter Administrative Feb 1, 2019

Clinical practice and preventive health guidelines available online

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available online

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

Clinical practice and preventive health guidelines available online

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Clinical practice and preventive health guidelines available online

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

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 code social determinants of health

June 2020 Empire Provider News Medicaid Jun 1, 2020

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: HEDIS MY 2021

January 2021 Empire Provider News Medicaid Jan 1, 2021

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: Provider guide to coding for cardiovascular conditions

July 2020 Empire Provider News Medicaid Jul 1, 2020

Coding spotlight: providers guide to coding for behavioral health disorders

October 2020 Empire Provider News Medicaid Oct 1, 2020

Coding spotlight: substance use disorders and smoking

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Coding spotlight: tips and best practices for compliance

November 2020 Empire Provider News Medicaid Nov 1, 2020

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Empire Provider News Administrative Dec 1, 2019

Coding tip for psychological and neuropsychological testing

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding Updates

May 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Coding Updates

September 2019 Empire Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Cologuard covered for Medicare Advantage

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Coming soon: electronic attachments

September 2019 Empire Provider News Medicaid Sep 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicare Sep 1, 2019

Coming Soon: Empire Electronic Attachments

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Coming Soon: Enhance your Prior Authorization and Inpatient Admission

August 2020 Empire Provider News Administrative Aug 1, 2020

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Company works to simplify payment recovery process for National Accounts membership

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Complex Case Management program

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Complex Case Management program

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Complex Case Management program

June 2020 Empire Provider News Medicaid Jun 1, 2020

ConditionCare Program Benefits Patients and Physicians

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Connecticut Teachers’ Retirement Board Offers Medicare Advantage Option

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Controlling High Blood Pressure (CBP)

August 2020 Empire Provider News Medicaid Aug 1, 2020

Coordination of Benefits for an FEP member

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

Coordination of Benefits for an FEP® member

December 2019 Empire Provider News Federal Employee Plan (FEP) Dec 1, 2019

Coordination of Care

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Coordination of Care

December 2019 Empire Provider News Administrative Dec 1, 2019

Coordination of Care

December 2020 Empire Provider News Administrative Dec 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

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Coverage Guideline not implemented - Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing (CG-MED-53)

June 2018 Empire Provider Newsletter Products & Programs May 30, 2018

COVID-19 Information repository for Empire Care Providers

May 2020 Empire Provider News Administrative May 1, 2020

CRA Reporting Update: 2019 Program Year Progression - What’s in it for you and your patients?

July 2019 Empire Provider News Administrative Jul 1, 2019

CRA Reporting Update: 2020 Program Year Progression - What’s in it for you and your patients?

July 2020 Empire Provider News Administrative Jul 1, 2020

CRA reporting update: 2020 prospective program continues

September 2020 Empire Provider News Administrative Sep 1, 2020

CRA Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program

October 2020 Empire Provider News Administrative Oct 1, 2020

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Empire Provider News Medicare Sep 1, 2019

Designated Specialty Pharmacies in 2021

Material Adverse Change
October 2020 Empire Provider News Pharmacy Oct 1, 2020

Diabetes Coding

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Empire Provider News Medicare Jun 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Empire Provider News Administrative Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Empire Provider News Medicaid Nov 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Empire Provider News Medicaid Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Empire Provider News Medicare Dec 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Empire Provider News Medicaid Apr 1, 2020

Disease Management/Population Health program

January 2021 Empire Provider News Medicaid Jan 1, 2021

Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)

September 2020 Empire Provider News Reimbursement Policies Sep 1, 2020

DME providers and physicians: important wheelchair prior authorization information

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Documentation Standards for Episodes of Care (Professional)

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Reimbursement Policies Nov 1, 2020

Dual Eligible Special Needs Plans - provider training required

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

East End Health Plan offers Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

EDI Gateway migration

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

EDI gateway migration deadline is September 15, 2020

September 2020 Empire Provider News Administrative Sep 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Empire Provider News Medicare Jan 1, 2020

Electrical stimulation device to require prior authorization

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Electronic claim payment reconsideration

July 2019 Empire Provider News Medicaid Jul 1, 2019

Electronic Claims Submission - Clinical Laboratory Improvement Amendments (CLIA)

August 2020 Empire Provider News Administrative Aug 1, 2020

Electronic data interchange gateway update

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Electronic Data Interchange migration to Availity

August 2018 Empire Provider Newsletter Medicaid Aug 1, 2018
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