New York
Provider Communications

Articles Month: April 2021

Title Publication Category Date

Information from Empire for Care Providers about COVID-19 (Updated April 28, 2021)

We recently updated the effective date about reimbursement for the administration of the COVID-19 vaccine.

COVID-19 Information Administrative Apr 28, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Newsletter Federal Employee Plan (FEP) Apr 1, 2021

Keep up with Medicaid news

April 2021 Newsletter Medicaid Apr 1, 2021

Notify us of telehealth services

April 2021 Newsletter Medicare Apr 1, 2021

In-office assessment program

April 2021 Newsletter Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Newsletter Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates – November 2020

April 2021 Newsletter Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates – December 2020

April 2021 Newsletter Medicare Apr 1, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

Material adverse change (MAC) notification
April 2021 Newsletter Products & Programs Apr 1, 2021

Interactive bilingual website acting for our health

Exclusively developed for the latino community.
April 2021 Newsletter Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Newsletter Behavioral Health Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Newsletter Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available

Material adverse change (MAC) notification
April 2021 Newsletter Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification
April 2021 Newsletter Pharmacy Apr 1, 2021

Pharmacy information available on empireblue.com

April 2021 Newsletter Pharmacy Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information Administrative Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Newsletter Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Newsletter Administrative Apr 1, 2021

Join Empire in talking about racism and its impact on health

April 2021 Newsletter Administrative Apr 1, 2021

Reminder: Site of care medical necessity reviews for a wide range of surgical procedures began January 1, 2021

April 2021 Newsletter Administrative Apr 1, 2021

State of Connecticut employer group and Connecticut partnership plan

April 2021 Newsletter Administrative Apr 1, 2021

Updated provider agreement

April 2021 Newsletter Administrative Apr 1, 2021

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

April 2021 Newsletter Administrative Apr 1, 2021

Payer Spaces - Education and Reference Center has been replaced by Information Center

April 2021 Newsletter Administrative Apr 1, 2021

Understanding Availity Roles for Electronic Data Interchange (EDI)

April 2021 Newsletter Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Newsletter Administrative Apr 1, 2021

Submit appeals for clinically denied appeals via ICR

April 2021 Newsletter Administrative Apr 1, 2021

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

April 2021 Newsletter Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Newsletter Administrative Apr 1, 2021

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

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

April 2021 Newsletter Reimbursement Policies Apr 1, 2021
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