New York
Provider Communications

June 2019 Empire Provider Newsletter

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Title Category

AIM programs may require additional prior authorization documentation

Products & Programs

Ambulance Transportation - Professional

Reimbursement Policies

Change coming to Claim Status Inquiry and Secure Messaging on the Availity Portal

Administrative

Clinical Guideline (CG-ANC-07) effective July 1, 2019

Policy Updates

Clinical practice and preventive health guidelines available online

Administrative

Coming Soon: Empire Electronic Attachments

Administrative

Complex Case Management program

Medicaid

Empire Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

Pharmacy

Empire CRA Reporting Update: Retrospective Program begins

Administrative

Empire expands specialty pharmacy prior authorization list

Pharmacy

Empire launches additional changes to empireblue.com for Q2

Administrative

Find A Doctor: New Sort Option

Administrative

Frequency Editing - Professional

Reimbursement Policies

Important information about utilization management

Medicaid

Intervention for blood sugar control in pregnant women with diabetes

Medicaid

Keep up with Medicare news

Medicare

Lab services reminder for Employee Health Plan of Suffolk County

Administrative

Members’ Rights and Responsibilities Statement

Medicaid

Pharmacy information available on empireblue.com

Pharmacy

Prior authorization requirement update

Medicaid

Reminder and update: new Rehabilitative Program effective July 1, 2019

Products & Programs

Remittance Inquiry tool now available

Medicare

Remittance Inquiry tool now available

Medicaid

Review of professional claims with emergency department level 5 E&M codes

Medicare

Review of professional claims with emergency department level 5 E&M codes

Medicaid

Update: Sepsis Coding

Administrative

Updated Provider Manual now available

Administrative

Why do patients stop taking their prescribed medications and what can you do to help them?

Medicare

Why do patients stop taking their prescribed medications and what can you do to help them?

Medicaid
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