New York
Provider Communications

July 2019 Empire Provider News

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Title Category

Clinical Validation - Professional

Administrative

Changes to timely filing requirements for Medicare Advantage

Administrative

Make the move to the Availity EDI Gateway today

Administrative

CRA Reporting Update: 2019 Program Year Progression - What’s in it for you and your patients?

Administrative

Empire Works to Simplify Payment Recovery Process for National Accounts Membership

Administrative

Empire Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

Federal Employee Plan (FEP)

New service types added to Availity

Medicaid

Trauma-informed care

Medicaid

Sepsis diagnosis coding and billing reminder

Medicaid

Unspecified diagnosis code update

Medicaid

Coding Spotlight: Hypertension, A providers’ guide for coding

Medicaid

Health Homes - a valuable provider of community-based care coordination

Medicaid

Reimbursement Policy Update: Multiple Radiology Payment Reduction (Policy 12-002)

Medicaid

Pharmacy benefit manager change

Medicaid

New York City Department of Health advisory: HIV outbreak risk factors are present in New York City

Medicaid

Electronic claim payment reconsideration

Medicaid

Un-adopted clinical guidelines effective June 1, 2019

Medical Policy & Clinical Guidelines

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Medicare Advantage: Electronic claim payment reconsideration

Medicare

Medicare Advantage: Sepsis diagnosis coding and billing reminder

Medicare

Home health billing guidelines for contracted providers

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Keep up with Medicare news

Medicare

Pharmacy Benefit Manager Change

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical Criteria coding updates for specialty pharmacy are available

Pharmacy

Reimbursement Policy updates

Reimbursement Policies
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