New York
Provider Communications

July 2019 Empire Provider News

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Title Category

Changes to timely filing requirements for Medicare Advantage

Administrative

Clinical Criteria coding updates for specialty pharmacy are available

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical Validation - Professional

Administrative

Coding Spotlight: Hypertension, A providers’ guide for coding

Medicaid

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

Administrative

Electronic claim payment reconsideration

Medicaid

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)

Empire Works to Simplify Payment Recovery Process for National Accounts Membership

Administrative

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

Medicaid

Home health billing guidelines for contracted providers

Medicare

Keep up with Medicare news

Medicare

Make the move to the Availity EDI Gateway today

Administrative

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Medicare Advantage: Electronic claim payment reconsideration

Medicare

Medicare Advantage: Sepsis diagnosis coding and billing reminder

Medicare

New service types added to Availity

Medicaid

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

Medicaid

Pharmacy Benefit Manager Change

Pharmacy

Pharmacy benefit manager change

Medicaid

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

Medicaid

Reimbursement Policy updates

Reimbursement Policies

Sepsis diagnosis coding and billing reminder

Medicaid

Trauma-informed care

Medicaid

Un-adopted clinical guidelines effective June 1, 2019

Medical Policy & Clinical Guidelines

Unspecified diagnosis code update

Medicaid

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines
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