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Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Medical Policy Updates

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

Clinical Guideline Updates

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

Review medical policy and clinical guidelines when referring services to a facility

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

Update to Venipuncture Services Medical Policy effective March 1, 2018

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

Archived medical policy

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

New and adopted clinical guidelines effective May 1, 2019

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Un-adopted clinical guidelines effective February 1, 2019

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Clinical Guideline Updates

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

Medical Policy Updates

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

Clinical Guideline Updates

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

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

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

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

Clinical Criteria updates for specialty pharmacy

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

Medical policy updates and clinical guideline updates

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

Un-adopted clinical guidelines effective January 1, 2019

March 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Mar 1, 2019

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Empire Provider News Medical Policy & Clinical Guidelines Mar 1, 2021

Medical Policy Updates

June 2020 Empire Provider News Medical Policy & Clinical Guidelines Jun 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Empire Provider News Medical Policy & Clinical Guidelines Jun 1, 2020

Medical Policy and Clinical Guideline updates

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

Clinical Criteria updates for specialty pharmacy are available

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

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Empire Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Empire Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

Medical policy and clinical guideline updates

Material adverse change (MAC) notification

October 2021 Newsletter Medical Policy & Clinical Guidelines Oct 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 Updates

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

Medical policy and clinical guideline updates

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

Clinical Guideline Updates

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

Medical Policy & Clinical Guideline updates

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Update on clinical guidelines communicated in October 2018 provider newsletter

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 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

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

Medical Policy and Clinical Guideline Updates

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

Clinical Guideline Update - June 2020

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

Medical Policy Updates

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

Updates to AIM Cardiology Clinical Appropriateness Guidelines

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology Clinical Appropriateness Guideline

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

MCG Care Guidelines 24th edition customization

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

Medical Policy updates

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

Medical Policy & Clinical Guideline updates

Material Adverse Changes
October 2020 Empire Provider News Medical Policy & Clinical Guidelines Oct 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

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

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

Clinical guideline updates

Material adverse change (MAC) notification

May 2021 Newsletter Medical Policy & Clinical Guidelines May 1, 2021

Medical Policy Updates

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

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

May 2021 Newsletter Medical Policy & Clinical Guidelines May 1, 2021

Clinical Guideline Updates

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

Review medical policy and clinical guidelines when referring services to a facility

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

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

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

Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heart

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

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

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

Medical Policy and Clinical Guideline Updates

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Coding Updates

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

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guidelines

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Policy updates

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

Coding Updates

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

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019

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

Policy updates

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical Guideline Updates

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

Reminder: Post-service reviews using AIM

November 2020 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2020

Review medical policy and clinical guidelines when referring services to a facility

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

Update to AIM Clinical Appropriateness Guidelines

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

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

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

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Policy Updates

April 2020 Empire Provider News Medical Policy & Clinical Guidelines Apr 1, 2020

Update for commercial providers regarding the AIM Sleep Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Newsletter Medical Policy & Clinical Guidelines Apr 1, 2021

MCG Care Guidelines 25th Edition

April 2021 Newsletter Medical Policy & Clinical Guidelines Apr 1, 2021

Medical policy updates

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

Policy Updates

August 2018 Empire Provider Newsletter Policy Updates Aug 1, 2018

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair

January 2020 Empire Provider News Policy Updates Jan 1, 2020

Policy Updates

June 2018 Empire Provider Newsletter Policy Updates May 30, 2018

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

June 2019 Empire Provider Newsletter Policy Updates Jun 1, 2019

Policy updates

January 2019 Empire Provider Newsletter Policy Updates Jan 1, 2019

Policy updates

December 2018 Empire Provider Newsletter Policy Updates Dec 1, 2018

Policy Updates

October 2018 Empire Provider Newsletter Policy Updates Oct 1, 2018

Reimbursement Policy Updates

August 2018 Empire Provider Newsletter Reimbursement Policies Aug 1, 2018

Reimbursement Policy update - Outpatient Facility Edit Implementation

January 2020 Empire Provider News Reimbursement Policies Jan 1, 2020

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

September 2020 Empire Provider News Reimbursement Policies Sep 1, 2020

Frequency Editing (Professional)

September 2020 Empire Provider News Reimbursement Policies Sep 1, 2020

Injectable Substances with Related Injection Services - (Professional)

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Body Mass Index (BMI) - Facility

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Reminder Review ICD-10-CM Coding Guidelines - Professional

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019
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