New York
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Ambulance Transportation - Professional

June 2019 Empire Provider Newsletter Reimbursement Policies Jun 1, 2019

Archived medical policy

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

Body Mass Index (BMI) - Facility

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Bundled Services and Supplies (Professional)

December 2020 Empire Provider News Reimbursement Policies Dec 1, 2020

Bundled Services and Supplies (Professional)

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

Bundled Services and Supplies - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Claim editing update for Excludes1 notes

September 2019 Empire Provider News Reimbursement Policies Sep 1, 2019

Claims editing update for ICD-10-CM Excludes 1 notes

April 2021 Newsletter Reimbursement Policies Apr 1, 2021

Clinical Criteria updates for specialty pharmacy

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

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

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 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 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

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

Clinical Guideline Updates

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

Clinical Guideline Updates

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

Clinical Guideline Updates

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

Clinical guideline updates

Material adverse change (MAC) notification

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

Clinical Guideline Updates

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

Clinical Laboratory Improvements Amendments for Empire

February 2020 Empire Provider News Reimbursement Policies Feb 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

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

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

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

September 2020 Empire Provider News Reimbursement Policies Sep 1, 2020

Documentation Standards for Episodes of Care (Professional)

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

Emergency Room Transfers (Facility)

Material Adverse Change (MAC) Notification
February 2021 Empire Provider News Reimbursement Policies Feb 1, 2021

Empire expands hospice policy

December 2020 Empire Provider News Reimbursement Policies Dec 1, 2020

Empire to enhance claim edits for Outpatient Facility Claims

June 2021 Newsletter Reimbursement Policies Jun 1, 2021

Evaluation and Management changes 2021

January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Frequency Editing (Professional)

September 2020 Empire Provider News Reimbursement Policies Sep 1, 2020

Frequency Editing (Professional)

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

Frequency Editing - Professional

June 2019 Empire Provider Newsletter Reimbursement Policies Jun 1, 2019

Guidelines for reporting timed units for Physical Medicine and Rehabilitation (Professional)

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

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

January 2020 Empire Provider News Policy Updates Jan 1, 2020

Injectable Substances with Related Injection Services - (Professional)

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Inpatient Readmission (Facility)

August 2021 Newsletter Reimbursement Policies Aug 1, 2021

MCG Care Guidelines 24th edition customization

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

MCG Care Guidelines 25th Edition

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

Medical Policy & Clinical Guideline updates

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

Medical Policy & Clinical Guideline updates

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

Medical Policy and Clinical Guideline updates

February 2020 Empire Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Medical Policy and Clinical Guideline updates

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

Medical policy and clinical guideline updates

Material adverse change (MAC) notification

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

Medical policy and clinical guideline updates

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

Medical Policy and Clinical Guideline updates

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

Medical Policy and Clinical Guideline Updates

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

Medical Policy Updates

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

Medical Policy Updates

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

Medical Policy Updates

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

Medical Policy Updates

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

Medical Policy Updates

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

Medical Policy updates

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

Medical Policy Updates

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

Medical policy updates

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

Medical policy updates and clinical guideline updates

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

Modifier Rules (Professional)

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

Modifier Rules (Professional)

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

Multiple Diagnostic Imaging procedures (Professional)

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

New and adopted clinical guidelines effective May 1, 2019

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

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

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

New Reimbursement Policy - Facility Revenue Code Billing (Facility)

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 1, 2018

New Reimbursement Policy - Intensity Modulated Radiation Therapy Planning and Delivery - Professional

September 2019 Empire Provider News Reimbursement Policies Sep 1, 2019

New Reimbursement Policy - Maternity Services and Multiple Delivery - Professional

September 2019 Empire Provider News Reimbursement Policies Sep 1, 2019

New Reimbursement Policy - Partial Hospitalization Program and Intensive Outpatient Program Services Facility

April 2019 Empire Provider Newsletter Reimbursement Policies Apr 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

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

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

New Reimbursement Policy: Nurse Practitioner and Physician Assistant Services - Professional

June 2020 Empire Provider News Reimbursement Policies Jun 1, 2020

Outpatient Surgical Grouper

May 2020 Empire Provider News Reimbursement Policies May 1, 2020

Policy Updates

August 2018 Empire Provider Newsletter Policy Updates Aug 1, 2018

Policy Updates

June 2018 Empire Provider Newsletter Policy Updates May 30, 2018

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

Policy updates

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

Policy Updates

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

Professional Reimbursement Policy Update

June 2018 Empire Provider Newsletter Reimbursement Policies May 30, 2018

Reimbursement for Convenience Surgical Supply Kits - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Reminder - Durable Medical Equipment (Professional)

June 2018 Empire Provider Newsletter Reimbursement Policies May 30, 2018

Reimbursement policy reminder Professional Anesthesia Services (Professional)

September 2021 Newsletter Reimbursement Policies Sep 1, 2021

Reimbursement Policy update

October 2019 Empire Provider News Reimbursement Policies Oct 1, 2019

Reimbursement Policy Update - Drug Screen Testing (Professional)

May 2019 Empire Provider Newsletter Reimbursement Policies May 1, 2019

Reimbursement Policy update - Outpatient Facility Edit Implementation

January 2020 Empire Provider News Reimbursement Policies Jan 1, 2020

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement policy update: Drug Screen Testing (Professional)

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

Reimbursement policy update: Frequency editing (Professional)

May 2021 Newsletter Reimbursement Policies May 1, 2021

Reimbursement policy update: Consultations (Professional)

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

Reimbursement Policy Update: Emergency Department: Leveling of Evaluation and Management Services (Facility)

Material Adverse Change
October 2020 Empire Provider News Reimbursement Policies Oct 1, 2020

Reimbursement Policy Update: Laboratory and Venipuncture (Professional)

Material Adverse Change
October 2020 Empire Provider News Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Sexually Transmitted Infections Testing (Professional)

Material adverse change (MAC) notification

September 2021 Newsletter Reimbursement Policies Sep 1, 2021

Reimbursement Policy Updates

August 2018 Empire Provider Newsletter Reimbursement Policies Aug 1, 2018

Reimbursement Policy updates

July 2019 Empire Provider News Reimbursement Policies Jul 1, 2019

Reimbursement Policy Updates

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement Policy Updates

August 2019 Empire Provider News Reimbursement Policies Aug 1, 2019

Reimbursement Policy Updates

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Reminder about System Updates

May 2020 Empire Provider News Reimbursement Policies May 1, 2020
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