New York
Provider Communications

November 2021 Newsletter

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Title Category

4 things you can do to encourage cancer screenings for your women patients

Medicaid

Against medical advice (AMA) discharge physician tracking tool

Digital Tools

Be antibiotics aware: Protect your patient

Administrative

Blue High Performance Network name changing for 2022

Administrative

Change in coverage for continuous glucose monitors for some fully insured groups

Administrative

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)

Reimbursement Policies

Clinical Criteria updates

Medicaid

Clinical Criteria updates

Medicare

CME credits available in 2021 for a variety of clinical quality webinars - register now!

Administrative

Effective January 1, 2022: The 32BJ Health Fund Centers of Excellence for Bariatric and Joint Replacement surgery

Administrative

Electronic data interchange process

Medicaid

Electronic data interchange process

Medicare

Empire BlueCross BlueShield offering Advance Medical Directives program for 2022

Medicare

EnrollSafe is available: Our new electronic funds transfer enrollment portal

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
Digital Tools

Important update on Botox® for Empire members

Pharmacy

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

Administrative

Join Empire in talking about racism and its impact on health and earn continuing education credits

Administrative

Keep up with Medicaid news - November 2021

View these Medicaid articles:
  • Medicaid continuous glucose monitoring systems
  • Prior authorization updates for specialty pharmacy
Medicaid

Keep up with Medicare news - November 2021

View this Medicare article:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
Medicare

New York state Medicaid expansion of coverage for colorectal cancer screening

Medicaid

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

Administrative

Specialty pharmacy updates are available - November 2021

Material Adverse Change (MAC) notification

Pharmacy

Surprisingly easy ways to help patients quit smoking cigarettes

Administrative

Time to prepare for HEDIS® medical record review

Administrative

Unspecified diagnosis reminder

Medicaid

Update regarding annual wellness visits for ACA-compliant health plans

Products & Programs

Webinars for City of New York retirees transitioning to new Medicare Advantage plan

Medicare
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