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Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

2019 Medicare Advantage individual benefits and formularies

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

2020 Medicare risk adjustment provider trainings

April 2020 Empire Provider News Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Empire Provider News Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Empire Provider News Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

January 2021 Empire Provider News Medicare Jan 1, 2021

2020 Special Needs Plans

July 2020 Empire Provider News Medicare Jul 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Empire Provider News Medicare Dec 1, 2020

2022 Medicare Advantage service area and benefit updates

December 2021 Newsletter Medicare Dec 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicare Mar 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Newsletter Medicare Dec 1, 2021

AIM Musculoskeletal program expansion

August 2020 Empire Provider News Medicare Aug 1, 2020

AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020

November 2020 Empire Provider News Medicare Nov 1, 2020

Aspire Telehealth Palliative Care program

October 2019 Empire Provider News Medicare Oct 1, 2019

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

July 2021 Newsletter Medicare Jul 1, 2021

Attention: updated physician lab fee schedules for Medicare Advantage products

October 2019 Empire Provider News Medicare Oct 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Empire Provider News Medicare Nov 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

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Changes to PA requirements

September 2019 Empire Provider News Medicare Sep 1, 2019

City of Cincinnati Retirement System to offer Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

City of New York GRS Alliance Program (Updated 12/3/21)

December 2021 Newsletter Medicare Dec 1, 2021

City of New York offers Medicare Advantage option in 2022

August 2021 Newsletter Medicare Aug 1, 2021

City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option

September 2021 Newsletter Medicare Sep 1, 2021

Clinical Criteria updates

November 2021 Newsletter Medicare Nov 1, 2021

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Medicare Mar 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

Cologuard covered for Medicare Advantage

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Coming soon: electronic attachments

September 2019 Empire Provider News Medicare Sep 1, 2019

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

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Connecticut Teachers’ Retirement Board Offers Medicare Advantage Option

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Empire Provider News Medicare Sep 1, 2019

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Empire Provider News Medicare Jun 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Empire Provider News Medicare Dec 1, 2020

DME providers and physicians: important wheelchair prior authorization information

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

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

Electric Boat offers Medicare Advantage options

January 2020 Empire Provider News Medicare Jan 1, 2020

Electronic data interchange process

November 2021 Newsletter Medicare Nov 1, 2021

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Empire Provider News Medicare Nov 1, 2019

Empire BlueCross BlueShield offering Advance Medical Directives program for 2022

November 2021 Newsletter Medicare Nov 1, 2021

Empire eye refraction and routine eye exam billing information

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Empire offers risk adjustment and documentation training

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Empire transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Empire working with Optum to collect medical records for risk adjustment

June 2020 Empire Provider News Medicare Jun 1, 2020

Evaluation and management services correct coding

October 2020 Empire Provider News Medicare Oct 1, 2020

FDA approvals and expedited pathways used — new molecular entities

November 2020 Empire Provider News Medicare Nov 1, 2020

General Building Laborers' Local 66 Welfare Fund offers Medicare Advantage option

February 2020 Empire Provider News Medicare Feb 1, 2020

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Get your payments faster when you sign up for electronic funds transfer

October 2021 Newsletter Medicare Oct 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Newsletter Medicare Dec 1, 2021

Group sponsored Medicare Advantage plan members to receive new ID cards

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Empire Provider News Medicare Jan 1, 2020

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Newsletter Medicare Oct 1, 2021

Help protect your patients by providing medical ID protection - best practices

January 2020 Empire Provider News Medicare Jan 1, 2020

Home health billing guidelines for contracted providers

July 2019 Empire Provider News Medicare Jul 1, 2019

In-Office Assessment Program

July 2020 Empire Provider News Medicare Jul 1, 2020

In-office assessment program

April 2021 Newsletter Medicare Apr 1, 2021

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Information about 2021 Special Needs Plans

October 2021 Newsletter Medicare Oct 1, 2021

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Introducing Interactive Care Reviewer - an online prior authorization tool

June 2020 Empire Provider News Medicare Jun 1, 2020

Introducing Interactive Care Reviewer - An online prior authorization tool

July 2020 Empire Provider News Medicare Jul 1, 2020

Keep up with Medicare news

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Keep up with Medicare news

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Keep up with Medicare news

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

May 2019 Empire Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

July 2019 Empire Provider News Medicare Jul 1, 2019

Keep up with Medicare news

August 2019 Empire Provider News Medicare Aug 1, 2019

Keep up with Medicare news

September 2019 Empire Provider News Medicare Sep 1, 2019

Keep up with Medicare news

October 2019 Empire Provider News Medicare Oct 1, 2019

Keep up with Medicare news

November 2019 Empire Provider News Medicare Nov 1, 2019

Keep up with Medicare News

December 2019 Empire Provider News Medicare Dec 1, 2019

Keep up with Medicare News

January 2020 Empire Provider News Medicare Jan 1, 2020

Keep up with Medicare news

February 2020 Empire Provider News Medicare Feb 1, 2020

Keep up with Medicare news

March 2020 Empire Provider News Medicare Mar 1, 2020

Keep up with Medicare news

April 2020 Empire Provider News Medicare Apr 1, 2020

Keep up with Medicare news

May 2020 Empire Provider News Medicare May 1, 2020

Keep up with Medicare news

June 2020 Empire Provider News Medicare Jun 1, 2020

Keep up with Medicare news

July 2020 Empire Provider News Medicare Jul 1, 2020

Keep up with Medicare news

August 2020 Empire Provider News Medicare Aug 1, 2020

Keep up with Medicare news

September 2020 Empire Provider News Medicare Sep 1, 2020

Keep up with Medicare news

October 2020 Empire Provider News Medicare Oct 1, 2020

Keep up with Medicare news

November 2020 Empire Provider News Medicare Nov 1, 2020

Keep up with Medicare news

December 2020 Empire Provider News Medicare Dec 1, 2020

Keep up with Medicare news

January 2021 Empire Provider News Medicare Jan 1, 2021

Keep up with Medicare news

February 2021 Empire Provider News Medicare Feb 1, 2021

Keep up with Medicare news

March 2021 Empire Provider News Medicare Mar 1, 2021

Keep up with Medicare news

May 2021 Newsletter Medicare May 1, 2021

Keep up with Medicare news

June 2021 Newsletter Medicare Jun 1, 2021

Keep up with Medicare news

August 2021 Newsletter Medicare Aug 1, 2021

Keep up with Medicare news - December 2021

View these Medicare articles:

  • Medical drug benefit Clinical Criteria updates
  • FAQ: NYC Medicare Advantage Plus
  • Protocol for providers serving members with hearing aid
    coverage administered by Hearing Care Solutions
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
December 2021 Newsletter Medicare Dec 1, 2021

Keep up with Medicare news - November 2021

View this Medicare article:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
November 2021 Newsletter Medicare Nov 1, 2021
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