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Title Publication Category Date

Shine Light on Depression: school-based suicide prevention initiative

February 2020 Empire Provider News Behavioral Health Feb 1, 2020

Pharmacy Prior Authorization processing to transition to Empire's Pharmacy Benefit Manager: IngenioRx, Inc.

February 2020 Empire Provider News Pharmacy Feb 1, 2020

Empire to update formulary lists for commercial health plan pharmacy benefit

February 2020 Empire Provider News Pharmacy Feb 1, 2020

Clinical Criteria updates for specialty pharmacy are available

February 2020 Empire Provider News Pharmacy Feb 1, 2020

NYSHIP (New York State Health Insurance Program) change in immunization claim submissions

February 2020 Empire Provider News Administrative Feb 1, 2020

Empire SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Empire Provider News Administrative Feb 1, 2020

Medical Policy and Clinical Guideline updates

February 2020 Empire Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2020 Empire Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

February 2020 Empire Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Clinical Laboratory Improvements Amendments for Empire

February 2020 Empire Provider News Reimbursement Policies Feb 1, 2020

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (Effective 05/01/20)

February 2020 Empire Provider News Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Empire Provider News Medicaid Feb 1, 2020

Non-covered codes for Medicaid Managed Care (MMC) providers

February 2020 Empire Provider News Medicaid Feb 1, 2020

Keep up with Medicaid news

February 2020 Empire Provider News Medicaid Feb 1, 2020

Postponed - Review of professional claims with emergency room level 5 E/M codes

February 2020 Empire Provider News Medicare Feb 1, 2020

Medicare Advantage Outpatient Rehabilitation Program transition information

February 2020 Empire Provider News Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons (Effective 05/01/2020)

February 2020 Empire Provider News Medicare Feb 1, 2020

Reimbursement Policy Update: Multiple and Bilateral Surgery: Professional and Facility Reimbursement (Policy 06-010, effective 05/01/20)

February 2020 Empire Provider News Medicare Feb 1, 2020

General Building Laborers' Local 66 Welfare Fund offers Medicare Advantage option

February 2020 Empire Provider News Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Empire Provider News Medicare Feb 1, 2020

The New Year brings New ID Cards for Many Empire Members

January 2020 Empire Provider News Administrative Jan 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

January 2020 Empire Provider News Administrative Jan 1, 2020

Availity providers can now receive and respond to medical record requests for post pay audit February 10, 2020

January 2020 Empire Provider News Administrative Jan 1, 2020

Upcoming retirement planned for legacy Medical Attachment submission tool

January 2020 Empire Provider News Administrative Jan 1, 2020

Let Us Help You Accomplish Your 2020 “To Do List” Early - EDI Migration

January 2020 Empire Provider News Administrative Jan 1, 2020

Remittance Inquiry Tool Reminder

January 2020 Empire Provider News Administrative Jan 1, 2020

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair

January 2020 Empire Provider News Policy Updates Jan 1, 2020

Reimbursement Policy update - Outpatient Facility Edit Implementation

January 2020 Empire Provider News Reimbursement Policies Jan 1, 2020

2020 FEP Benefit information available online

January 2020 Empire Provider News Federal Employee Plan (FEP) Jan 1, 2020

Verifying and updating your provider information

January 2020 Empire Provider News Medicaid Jan 1, 2020

Improving the patient experience

January 2020 Empire Provider News Medicaid Jan 1, 2020

Medical drug benefit Clinical Criteria updates - August 2019

January 2020 Empire Provider News Medicaid Jan 1, 2020

Medical drug benefit Clinical Criteria - September 2019

January 2020 Empire Provider News Medicaid Jan 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

January 2020 Empire Provider News Medicaid Jan 1, 2020

Coding spotlight - provider’s guide to coding respiratory diseases

January 2020 Empire Provider News Medicaid Jan 1, 2020

Verifying and updating your provider information

January 2020 Empire Provider News Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Empire Provider News Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Empire Provider News Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Empire Provider News Medicare Jan 1, 2020

Reminder to Medicare Advantage providers

January 2020 Empire Provider News Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Empire Provider News Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Empire Provider News Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Empire Provider News Medicare Jan 1, 2020

Keep up with Medicare News

January 2020 Empire Provider News Medicare Jan 1, 2020

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Empire Provider News Products & Programs Jan 1, 2020

Postponed: Review of professional claims with emergency room level 5 E/M codes

January 2020 Empire Provider News Administrative Jan 1, 2020

NYSHIP (New York State Health Insurance Program) change in Hyperbaric Oxygen Therapy claim submissions

January 2020 Empire Provider News Administrative Jan 1, 2020

REMINDER: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Empire Provider News Products & Programs Dec 1, 2019

Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members

December 2019 Empire Provider News Products & Programs Dec 1, 2019

Case Management Program

December 2019 Empire Provider News Products & Programs Dec 1, 2019

Pharmacy information available on empireblue.com

December 2019 Empire Provider News Pharmacy Dec 1, 2019

Clinical Criteria updates for specialty pharmacy are available

December 2019 Empire Provider News Pharmacy Dec 1, 2019

2020 Network Changes

December 2019 Empire Provider News Administrative Dec 1, 2019

Announcing a New Network - Connection

December 2019 Empire Provider News Administrative Dec 1, 2019

Blue Access Expands to Include Large Groups

December 2019 Empire Provider News Administrative Dec 1, 2019

New - Individual Network

December 2019 Empire Provider News Administrative Dec 1, 2019

Verifying and updating your provider information

December 2019 Empire Provider News Administrative Dec 1, 2019

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Empire Provider News Administrative Dec 1, 2019

Empire Works to Simplify Payment Recovery Process for National Accounts Membership

December 2019 Empire Provider News Administrative Dec 1, 2019

Empire BCBS HealthPlus to be removed from Availity’s Payer Menu

December 2019 Empire Provider News Administrative Dec 1, 2019

Retrieve your Empire Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

December 2019 Empire Provider News Administrative Dec 1, 2019

Coordination of Care

December 2019 Empire Provider News Administrative Dec 1, 2019

Important Information about Utilization Management

December 2019 Empire Provider News Administrative Dec 1, 2019

Members’ Rights and Responsibilities

December 2019 Empire Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on empireblue.com/provider

December 2019 Empire Provider News Administrative Dec 1, 2019

New Reimbursement Policy Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers (Professional)

December 2019 Empire Provider News Reimbursement Policies Dec 1, 2019

System updates for 2020 - Professional

December 2019 Empire Provider News Reimbursement Policies Dec 1, 2019

Coordination of Benefits for an FEP® member

December 2019 Empire Provider News Federal Employee Plan (FEP) Dec 1, 2019

Reminder to Medicare Advantage providers

December 2019 Empire Provider News Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Empire Provider News Medicare Dec 1, 2019

City of Cincinnati Retirement System to offer Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

East End Health Plan offers Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

Provider training series

December 2019 Empire Provider News Medicare Dec 1, 2019

Keep up with Medicare News

December 2019 Empire Provider News Medicare Dec 1, 2019

Reminder about AIM’s new Rehabilitative Program effective November 1, 2019

November 2019 Empire Provider News Products & Programs Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Prior authorization updates for specialty pharmacy are available

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Clinical Criteria updates for specialty pharmacy are available

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019

November 2019 Empire Provider News Administrative Nov 1, 2019

Additional improvements coming to empireblue.com

November 2019 Empire Provider News Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Empire Provider News Administrative Nov 1, 2019

Medical Policy & Clinical Guideline updates

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Empire Provider News Medicaid Nov 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

November 2019 Empire Provider News Medicaid Nov 1, 2019

Keep up with Medicaid news

November 2019 Empire Provider News Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Empire Provider News Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Empire Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Empire Provider News Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Empire Provider News Medicare Nov 1, 2019

Get the latest critical information from Empire that impacts you; View Provider News for easy access at your fingertips

Critical information from Empire Administrative Oct 8, 2019

UPDATE: New AIM Rehabilitative Program will begin November 1, 2019

October 2019 Empire Provider News Products & Programs Oct 1, 2019

Empire specialty pharmacy medical step therapy drug list - clarification

October 2019 Empire Provider News Pharmacy Oct 1, 2019

Important update to Empire’s commercial drug lists

October 2019 Empire Provider News Pharmacy Oct 1, 2019

Pharmacy information available on empireblue.com

October 2019 Empire Provider News Pharmacy Oct 1, 2019

Empire launches additional changes to empireblue.com/provider

October 2019 Empire Provider News Administrative Oct 1, 2019

National Accounts 2020 Pre-certification list

October 2019 Empire Provider News Administrative Oct 1, 2019
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