New York
Provider Communications

May 2022 Newsletter

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Title Category

Empire announces changes to post-payment audits conducted on our behalf

Administrative

Action required: Conversion to a new reimbursement system for outpatient facility services

Administrative

Coding tips for reporting administration of Spravato®

Administrative

CAA: Timely updates help keep our provider directories current

Administrative

Primary care appointment access and open panels

Administrative

Resources to support diverse patients and communities

Administrative

May is national high blood pressure education month: We’ve got this!

Administrative

Alcohol use disorder has a big cost

Administrative

Join us for an FEP Quality Learning program live webinar

Federal Employee Plan (FEP)

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

Federal Employee Plan (FEP)

Federal Employee Program® AIM radiology prior authorization review reminder

Federal Employee Plan (FEP)

Screening for alcohol use disorder in high-prevalence demographics

Medicaid

New Strategic Provider System implementation May 2022

Medicaid

CPT Category II update

Medicaid

Keep up with Medicaid news- May 2022

View these Medicaid articles:

  • Prior authorization requirement changes for HCPCS code K1022
  • New specialty pharmacy medical step therapy requirements
Medicaid

Medical policy and clinical guideline updates

Material Adverse Change (MAC)

Medical Policy & Clinical Guidelines

Convenient, reliable at-home testing for colorectal cancer and diabetes care

Medicare

HEDIS 2022: summary of changes from NCQA

Medicare

New specialty pharmacy medical step therapy requirements

Medicare

Keep up with Medicare news - May 2022

View these Medicare articles:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements
Medicare

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

Pharmacy

Specialty pharmacy updates - May 2022

Material Adverse Change (MAC)
Pharmacy
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