New York
Provider Communications

September 2021 Newsletter

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Title Category

Register now for our September CME webinars!

Administrative

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
Administrative

6 SIMPLE strategies to help increase medication adherence

Administrative

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics

Administrative

National Accounts 2022 Pre-certification list

Administrative

HEDISĀ® medical record submission made easier with our Remote EMR Access Service

Administrative

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers - replacing CAQH Enrollhub effective November 1, 2021.

Digital Tools

Federal Employee ProgramĀ® AIM Radiology prior authorization review transition delayed until November

Material adverse change (MAC) notification

Federal Employee Plan (FEP)

Keep up with Medicaid news - September 2021

View these Medicaid article: 
  • Clinical Criteria Updates Notification May 2021
  • Iron Infusion Step Therapy
  • Iron Infusion Prior Authorization Update
Medicaid

City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option

Medicare

Reimbursement Policy Update: DRG Inpatient Facility Transfers (Effective 11/30/21)

Medicare

Utilization management authorization rule operations

Medicare

Prior authorization/Precertification form notification

Medicare

Keep up with Medicare news - September 2021

View this Medicare article:

  • Clinical Criteria Updates Notification May 2021
Medicare

Updates for specialty pharmacy are available - September 2021

Material adverse change (MAC) notification

Pharmacy

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
Pharmacy

Reimbursement policy update: Sexually Transmitted Infections Testing (Professional)

Material adverse change (MAC) notification

Reimbursement Policies

Reimbursement policy update: Drug Screen Testing (Professional)

Material adverse change (MAC) notification
Reimbursement Policies

Reimbursement policy reminder Professional Anesthesia Services (Professional)

Reimbursement Policies
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