New York
Provider Communications

Articles

Title Publication Category Date

COVID-19 Information repository for Empire Care Providers

May 2020 Empire Provider News Administrative May 1, 2020

Empire Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

May 2020 Empire Provider News Administrative May 1, 2020

Quality Corner - Diabetes HbA1c<8 HEDIS Guidance

May 2020 Empire Provider News Administrative May 1, 2020

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

Reminder about System Updates

May 2020 Empire Provider News Reimbursement Policies May 1, 2020

Outpatient Surgical Grouper

May 2020 Empire Provider News Reimbursement Policies May 1, 2020

Correct Mailing Address for Federal Employee Program Paper Claims and Claims Related Correspondence

May 2020 Empire Provider News Federal Employee Plan (FEP) May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicaid May 1, 2020

Acquisition of Beacon Health Options

May 2020 Empire Provider News Medicaid May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicare May 1, 2020

Multi-dose packaging

May 2020 Empire Provider News Medicare May 1, 2020

Keep up with Medicare news

May 2020 Empire Provider News Medicare May 1, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Empire hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.

COVID-19 Information Administrative Apr 28, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Empire has complied information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information Administrative Apr 15, 2020

Patient Cost-Sharing for Laboratory Tests to Diagnose COVID-19, Provider Visits to Diagnose COVID-19, and all Telehealth Services

COVID-19 Information Administrative Apr 6, 2020

Empire to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information Pharmacy Apr 1, 2020

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin July 1, 2020

April 2020 Empire Provider News Products & Programs Apr 1, 2020

Empire prior authorization updates for specialty pharmacy are available

April 2020 Empire Provider News Pharmacy Apr 1, 2020

Pharmacy information available on empireblue.com

April 2020 Empire Provider News Pharmacy Apr 1, 2020

Information from Empire for Care Providers about COVID-19

April 2020 Empire Provider News Administrative Apr 1, 2020

Anthem, Inc., Empire’s parent company, acquires Beacon Health Options

April 2020 Empire Provider News Administrative Apr 1, 2020

Provider Transparency Update

April 2020 Empire Provider News Administrative Apr 1, 2020

Empire continues focus on updates to our public provider website

April 2020 Empire Provider News Administrative Apr 1, 2020

MCG Care Guidelines 24th Edition

April 2020 Empire Provider News Administrative Apr 1, 2020

Policy Updates

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

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Empire Provider News Federal Employee Plan (FEP) Apr 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (November 2019)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (December 2019)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Update to corrected claims filing guidelines

April 2020 Empire Provider News Medicaid Apr 1, 2020

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Empire Provider News Medicaid Apr 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

April 2020 Empire Provider News Medicaid Apr 1, 2020

Keep up with Medicaid news

April 2020 Empire Provider News Medicaid Apr 1, 2020

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

2020 Medicare risk adjustment provider trainings

April 2020 Empire Provider News Medicare Apr 1, 2020

Keep up with Medicare news

April 2020 Empire Provider News Medicare Apr 1, 2020

Empire Suspends Certain Authorization Requirements to Aid NYS COVID-19 Response

COVID-19 Information Administrative Mar 27, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19 and Important Medicare Advantage Updates.
COVID-19 Information State & Federal Mar 25, 2020

Anthem, Inc. acquires Beacon Health Options

N/A Administrative Mar 2, 2020

Clinical Criteria updates for specialty pharmacy are available

March 2020 Empire Provider News Pharmacy Mar 1, 2020

Pharmacy information available on empireblue.com

March 2020 Empire Provider News Pharmacy Mar 1, 2020

Attention: Revised New York State Department of Health Clauses for Managed Care Provider/IPA/ACO Contracts and Amendment

March 2020 Empire Provider News Administrative Mar 1, 2020

Provider News Site Enhancements

March 2020 Empire Provider News Administrative Mar 1, 2020

Physician Access/Appointment Availability Standards General Availability Standards

March 2020 Empire Provider News Administrative Mar 1, 2020

Patient360 Enhancement for Medical Providers

March 2020 Empire Provider News Administrative Mar 1, 2020

Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2020

March 2020 Empire Provider News Administrative Mar 1, 2020

Modifier use reminders

March 2020 Empire Provider News Administrative Mar 1, 2020

Important coding reminder for Walk-In Retail Health Clinics

March 2020 Empire Provider News Administrative Mar 1, 2020

Clinical Guideline Update - June 2020

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

Antibiotic dispensing guidelines

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding spotlight: HIV and AIDS

March 2020 Empire Provider News Medicaid Mar 1, 2020

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

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding tip for psychological and neuropsychological testing

March 2020 Empire Provider News Medicaid Mar 1, 2020

Keep up with Medicaid news

March 2020 Empire Provider News Medicaid Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Empire Provider News Medicare Mar 1, 2020

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

March 2020 Empire Provider News Medicare Mar 1, 2020

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

March 2020 Empire Provider News Medicare Mar 1, 2020

Keep up with Medicare news

March 2020 Empire Provider News Medicare Mar 1, 2020

Shine Light on Depression: school-based suicide prevention initiative

February 2020 Empire Provider News Behavioral Health Feb 1, 2020

Pharmacy Prior Authorization processing to transition to Empire's Pharmacy Benefit Manager: IngenioRx, Inc.

February 2020 Empire Provider News Pharmacy Feb 1, 2020

Empire to update formulary lists for commercial health plan pharmacy benefit

February 2020 Empire Provider News Pharmacy Feb 1, 2020

Clinical Criteria updates for specialty pharmacy are available

February 2020 Empire Provider News Pharmacy Feb 1, 2020

NYSHIP (New York State Health Insurance Program) change in immunization claim submissions

February 2020 Empire Provider News Administrative Feb 1, 2020

Empire SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Empire Provider News Administrative Feb 1, 2020

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

Clinical Laboratory Improvements Amendments for Empire

February 2020 Empire Provider News Reimbursement Policies Feb 1, 2020

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (Effective 05/01/20)

February 2020 Empire Provider News Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Empire Provider News Medicaid Feb 1, 2020

Non-covered codes for Medicaid Managed Care (MMC) providers

February 2020 Empire Provider News Medicaid Feb 1, 2020

Keep up with Medicaid news

February 2020 Empire Provider News Medicaid Feb 1, 2020

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

February 2020 Empire Provider News Medicare Feb 1, 2020

Medicare Advantage Outpatient Rehabilitation Program transition information

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 Reimbursement (Policy 06-010, effective 05/01/20)

February 2020 Empire Provider News Medicare Feb 1, 2020

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

February 2020 Empire Provider News Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Empire Provider News Medicare Feb 1, 2020

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Empire Provider News Products & Programs Jan 1, 2020

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

January 2020 Empire Provider News Administrative Jan 1, 2020

NYSHIP (New York State Health Insurance Program) change in Hyperbaric Oxygen Therapy claim submissions

January 2020 Empire Provider News Administrative Jan 1, 2020

The New Year brings New ID Cards for Many Empire Members

January 2020 Empire Provider News Administrative Jan 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

January 2020 Empire Provider News Administrative Jan 1, 2020

Availity providers can now receive and respond to medical record requests for post pay audit February 10, 2020

January 2020 Empire Provider News Administrative Jan 1, 2020

Upcoming retirement planned for legacy Medical Attachment submission tool

January 2020 Empire Provider News Administrative Jan 1, 2020

Let Us Help You Accomplish Your 2020 “To Do List” Early - EDI Migration

January 2020 Empire Provider News Administrative Jan 1, 2020

Remittance Inquiry Tool Reminder

January 2020 Empire Provider News Administrative Jan 1, 2020

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

January 2020 Empire Provider News Policy Updates Jan 1, 2020

Reimbursement Policy update - Outpatient Facility Edit Implementation

January 2020 Empire Provider News Reimbursement Policies Jan 1, 2020

2020 FEP Benefit information available online

January 2020 Empire Provider News Federal Employee Plan (FEP) Jan 1, 2020

Verifying and updating your provider information

January 2020 Empire Provider News Medicaid Jan 1, 2020

Improving the patient experience

January 2020 Empire Provider News Medicaid Jan 1, 2020

Medical drug benefit Clinical Criteria updates - August 2019

January 2020 Empire Provider News Medicaid Jan 1, 2020
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