New York
Provider Communications

August 2020 Empire Provider News

Download as PDF

Title Category

2020 Medicare risk adjustment provider trainings

Medicare

AIM Musculoskeletal program expansion

Medicare

Appropriate coding helps provide a comprehensive picture of patients’ health

Administrative

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Coming Soon: Enhance your Prior Authorization and Inpatient Admission

Administrative

Controlling High Blood Pressure (CBP)

Medicaid

Electronic Claims Submission - Clinical Laboratory Improvement Amendments (CLIA)

Administrative

Empire Electronic Attachments - X12 275 5010

Administrative

Empire to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Expansion of AIM Musculoskeletal Program effective November 1, 2020

Products & Programs

Keep up with Medicaid news

Medicaid

Keep up with Medicare news

Medicare

Medical drug benefit Clinical Criteria updates

Medicaid

Medical drug benefit Clinical Criteria updates

Medicare

Medical Record Standards

Administrative

Migrate Your EDI Transactions to Availity Today

Administrative

Pharmacy information available on empireblue.com

Pharmacy

Prior authorization updates for specialty pharmacy are available

Pharmacy

Provider data update

Medicaid

Provider data update

Medicare

Resources to support diverse patients and communities

Administrative

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Medicaid

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

Pharmacy

Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM

Medicare
Page 1 of 1