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Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

When and how to initiate Medicare Advantage reopenings

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Verifying and updating your provider information

January 2020 Empire Provider News Medicare Jan 1, 2020

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Update: 2019 risk adjustment provider training

October 2019 Empire Provider News Medicare Oct 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Review of professional claims with emergency department level 5 E&M codes

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Remittance Inquiry tool now available

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Empire Provider News Medicare Mar 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

Reminder to Medicare Advantage providers

January 2020 Empire Provider News Medicare Jan 1, 2020

Reminder to Medicare Advantage providers

December 2019 Empire Provider News Medicare Dec 1, 2019

Reminder - Empire follows Original Medicare policies

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Reimbursement Policy Update: Multiple and Bilateral Surgery: Professional and Facility Reimbursement (Policy 06-010, effective 05/01/20)

February 2020 Empire Provider News Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons (Effective 05/01/2020)

February 2020 Empire Provider News Medicare Feb 1, 2020

Reimbursement Policy Update - Multiple and Bilateral Surgery: Professional and Facility

March 2020 Empire Provider News Medicare Mar 1, 2020

Provider training series

December 2019 Empire Provider News Medicare Dec 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Empire Provider News Medicare Oct 1, 2019

Postponed - Review of professional claims with emergency room level 5 E/M codes

February 2020 Empire Provider News Medicare Feb 1, 2020

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Pharmacy benefit manager change to IngenioRx

September 2019 Empire Provider News Medicare Sep 1, 2019

Peer-to-peer process can help clarify clinical record

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Partial hospitalization services

May 2019 Empire Provider Newsletter Medicare May 1, 2019

Online registration processes for electronic funds transfers and electronic remittance advices

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Non-preferred products and corresponding preferred alternatives

March 2020 Empire Provider News Medicare Mar 1, 2020

New specialty Medicare Part B device preferred product program

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

MyDiversePatients.com addresses health care disparities

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Medication adherence incentive offered to EPHC providers

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Medicare preferred continuous glucose monitors

January 2020 Empire Provider News Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

October 2019 Empire Provider News Medicare Oct 1, 2019

Medicare pharmacy and prescriber home starts January 2019

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medicare Advantage: Special needs plans - provider training required

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage: Sepsis diagnosis coding and billing reminder

July 2019 Empire Provider News Medicare Jul 1, 2019

Medicare Advantage: New service types added to Availity

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage: New Reimbursement Policy: Drug Screen Testing (Policy 19-001, effective 10/01/19)

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage: Electronic claim payment reconsideration

July 2019 Empire Provider News Medicare Jul 1, 2019

Medicare Advantage: AIM Specialty Health programs may require documentation

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage Outpatient Rehabilitation Program transition information

February 2020 Empire Provider News Medicare Feb 1, 2020

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Medical Policies updated

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

October 2019 Empire Provider News Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

July 2019 Empire Provider News Medicare Jul 1, 2019

Medical drug benefit Clinical Criteria updates (November 2019)

April 2020 Empire Provider News Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates (December 2019)

April 2020 Empire Provider News Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Empire Provider News Medicare Jan 1, 2020

MediBlue Select HMO Network expands effective January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

MA members receive incentives for completing screenings

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

MA home health network to be delegated to myNEXUS

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Lowering health risks with no-cost statins

October 2019 Empire Provider News Medicare Oct 1, 2019

Keep up with Medicare news

August 2019 Empire Provider News Medicare Aug 1, 2019

Keep up with Medicare news

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Keep up with Medicare News

January 2020 Empire Provider News Medicare Jan 1, 2020

Keep up with Medicare news

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Keep up with Medicare news

February 2020 Empire Provider News Medicare Feb 1, 2020

Keep up with Medicare news

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare News

December 2019 Empire Provider News Medicare Dec 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

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

November 2019 Empire Provider News Medicare Nov 1, 2019

Keep up with Medicare news

October 2019 Empire Provider News Medicare Oct 1, 2019

Keep up with Medicare news

March 2020 Empire Provider News Medicare Mar 1, 2020

Keep up with Medicare news

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

May 2019 Empire Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

September 2019 Empire Provider News Medicare Sep 1, 2019

Keep up with Medicare news

April 2020 Empire Provider News Medicare Apr 1, 2020

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

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

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Home health billing guidelines for contracted providers

July 2019 Empire Provider News Medicare Jul 1, 2019

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

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

Group sponsored Medicare Advantage plan members to receive new ID cards

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

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

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

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

February 2020 Empire Provider News Medicare Feb 1, 2020

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

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Empire offers risk adjustment and documentation training

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Empire eye refraction and routine eye exam billing information

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Empire Provider News Medicare Nov 1, 2019

Electric Boat offers Medicare Advantage options

January 2020 Empire Provider News Medicare Jan 1, 2020

East End Health Plan offers Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

Dual Eligible Special Needs Plans - provider training required

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

DME providers and physicians: important wheelchair prior authorization information

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Empire Provider News Medicare Sep 1, 2019

Connecticut Teachers’ Retirement Board Offers Medicare Advantage Option

June 2018 Empire Provider Newsletter Medicare May 30, 2018

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

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicare Sep 1, 2019

Cologuard covered for Medicare Advantage

June 2018 Empire Provider Newsletter Medicare May 30, 2018

CMS reminder: expedited/urgent requests

November 2019 Empire Provider News Medicare Nov 1, 2019

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

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

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

City of Cincinnati Retirement System to offer Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

Changes to PA requirements

September 2019 Empire Provider News Medicare Sep 1, 2019
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