New York
Provider Communications

Articles

Title Publication Category Date

Changes to Annual Verification Process

July 2020 Empire Provider News Administrative Jul 1, 2020

Changes to PA requirements

September 2019 Empire Provider News Medicare Sep 1, 2019

Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019

November 2019 Empire Provider News Administrative Nov 1, 2019

Changes to timely filing requirements for Medicare Advantage

July 2019 Empire Provider News Administrative Jul 1, 2019

Charges for Personal Protective Equipment by Participating Providers

October 2020 Empire Provider News Administrative Oct 1, 2020

Chat directly with a prior authorization specialist

April 2021 Newsletter Administrative Apr 1, 2021

Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

City of Cincinnati Retirement System to offer Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

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

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

Claims Status Listing & Remittance Inquiry Updates for Atypical Providers

July 2020 Empire Provider News Administrative Jul 1, 2020

Clarification: Empire’s enhanced claim edits for outpatient facility claims

October 2021 Newsletter Administrative Oct 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Newsletter Administrative Aug 1, 2021

Clinical appeals

October 2021 Newsletter Administrative Oct 1, 2021

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

September 2019 Empire Provider News Pharmacy Sep 1, 2019

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

August 2019 Empire Provider News Pharmacy Aug 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical Criteria updates

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Clinical Criteria updates

May 2019 Empire Provider Newsletter Medicaid May 1, 2019

Clinical Criteria updates

September 2019 Empire Provider News Medicaid Sep 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

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

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

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Pharmacy Mar 1, 2021

Clinical criteria updates for specialty pharmacy

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical Criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
October 2021 Newsletter Pharmacy Oct 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification

August 2021 Newsletter Pharmacy Aug 1, 2021

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy are available

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Clinical Criteria updates for specialty pharmacy are available

February 2020 Empire Provider News Pharmacy Feb 1, 2020

Clinical Criteria updates for specialty pharmacy are available

December 2019 Empire Provider News Pharmacy Dec 1, 2019

Clinical Criteria updates for specialty pharmacy are available

June 2020 Empire Provider News Pharmacy Jun 1, 2020

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

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 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

March 2020 Empire Provider News Pharmacy Mar 1, 2020

Clinical Criteria updates for specialty pharmacy are available

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

Clinical Criteria updates for specialty pharmacy are available

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

Clinical Criteria updates for specialty pharmacy are available

September 2019 Empire Provider News Pharmacy Sep 1, 2019

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Pharmacy Nov 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 Improvement Amendments (CLIA) Number – Additional Information

November 2020 Empire Provider News Administrative Nov 1, 2020

Clinical Laboratory Improvements Amendments for Empire

February 2020 Empire Provider News Reimbursement Policies Feb 1, 2020

Clinical practice and preventive health guidelines available on empireblue.com

December 2020 Empire Provider News Administrative Dec 1, 2020

Clinical practice and preventive health guidelines available on empireblue.com/provider

December 2019 Empire Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available online

February 2019 Empire Provider Newsletter Administrative Feb 1, 2019

Clinical practice and preventive health guidelines available online

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available online

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available online

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Clinical practice and preventive health guidelines available online

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available online

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Clinical practice and preventive health guidelines available online

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

Clinical Validation - Professional

July 2019 Empire Provider News Administrative Jul 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

Coding Spotlight - Obesity

August 2018 Empire Provider Newsletter Medicaid Aug 1, 2018

Coding spotlight - provider’s guide to code social determinants of health

June 2020 Empire Provider News Medicaid Jun 1, 2020

Coding spotlight - provider’s guide to coding respiratory diseases

January 2020 Empire Provider News Medicaid Jan 1, 2020

Coding Spotlight: Cancer A provider’s guide to properly code cancers

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Coding spotlight: HEDIS MY 2021

January 2021 Empire Provider News Medicaid Jan 1, 2021

Coding spotlight: HIV and AIDS

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding Spotlight: Hypertension, A providers’ guide for coding

July 2019 Empire Provider News Medicaid Jul 1, 2019

Coding spotlight: mental disorders in childhood

July 2021 Newsletter Medicaid Jul 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Empire Provider News Medicaid Mar 1, 2021

Coding Spotlight: Pregnancy, A provider’s guide to diagnose and code for pregnancy

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Empire Provider News Medicaid Jul 1, 2020

Coding spotlight: providers guide to coding for behavioral health disorders

October 2020 Empire Provider News Medicaid Oct 1, 2020

Coding spotlight: substance use disorders and smoking

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Coding spotlight: tips and best practices for compliance

November 2020 Empire Provider News Medicaid Nov 1, 2020

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Empire Provider News Administrative Dec 1, 2019

Coding tip for psychological and neuropsychological testing

March 2020 Empire Provider News Medicaid Mar 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

Cologuard covered for Medicare Advantage

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Colorectal Cancer Screening (COL) - ensuring quality of care

February 2021 Empire Provider News Medicaid Feb 1, 2021

Coming soon: electronic attachments

September 2019 Empire Provider News Medicaid Sep 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicare Sep 1, 2019

Coming Soon: Empire Electronic Attachments

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Coming Soon: Enhance your Prior Authorization and Inpatient Admission

August 2020 Empire Provider News Administrative Aug 1, 2020

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

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Commercial Repapering: Important update

July 2021 Newsletter Administrative Jul 1, 2021

Company works to simplify payment recovery process for National Accounts membership

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Complex Case Management program

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Complex Case Management program

June 2021 Newsletter Medicaid Jun 1, 2021
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