New York
Provider Communications

September 2020 Empire Provider News

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Title Category

CRA reporting update: 2020 prospective program continues

Administrative

Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)

Reimbursement Policies

EDI gateway migration deadline is September 15, 2020

Administrative

Empire to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Enhanced medical records submission process to support claims processing

Administrative

Frequency Editing (Professional)

Reimbursement Policies

Keep up with Medicaid news

Medicaid

Keep up with Medicare news

Medicare

Medical drug benefit Clinical Criteria updates

Medicaid

Medical drug benefit Clinical Criteria updates

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid

New provider directory indicators for medication assisted treatment (MAT) providers

Administrative

Patient360 adds care gap alert feedback for medical providers

Administrative

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

Administrative

Providers can now receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist module

Administrative

Update: Notice of changes to the AIM musculoskeletal program

Medicare

Updates for specialty pharmacy are available

Pharmacy

What Matters Most online training course: improving patient experience

Medicaid
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