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Title Publication Category Date

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Newsletter Administrative Dec 1, 2021

Facility option to receive verbal UM Notifications electronically

December 2021 Newsletter Administrative Dec 1, 2021

Submitting prior authorizations is getting easier

Empire is transitioning to the Availity Authorization app

December 2021 Newsletter Administrative Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization app

December 2021 Newsletter Administrative Dec 1, 2021

Chlamydia screening for teens and young adults

December 2021 Newsletter Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Newsletter Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Newsletter Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on empireblue.com

December 2021 Newsletter Administrative Dec 1, 2021

Coordination of care

December 2021 Newsletter Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Newsletter Administrative Dec 1, 2021

Important information about utilization management

December 2021 Newsletter Administrative Dec 1, 2021

Case management program

December 2021 Newsletter Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Newsletter Administrative Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Newsletter Administrative Dec 1, 2021

Reminder: The 32BJ Health Fund Centers of Excellence for Bariatric and Joint Replacement Surgery program begins January 1, 2022

December 2021 Newsletter Administrative Dec 1, 2021

Reminder: EnrollSafe is available - electronic funds transfer enrollment portal for Empire providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Newsletter Digital Tools Dec 1, 2021

Utilization management tool available on Availity Payer Spaces: Authorization Rules Lookup tool

December 2021 Newsletter Digital Tools Dec 1, 2021

Empire to retire Blue Precision program on December 31, 2021

December 2021 Newsletter Products & Programs Dec 1, 2021

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
December 2021 Newsletter Pharmacy Dec 1, 2021

Specialty pharmacy updates - December 2021

Material Adverse Change (MAC)
December 2021 Newsletter Pharmacy Dec 1, 2021

Pharmacy information available on empireblue.com

December 2021 Newsletter Pharmacy Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management clinical appropriateness guideline

Material Adverse Change (MAC)
December 2021 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology clinical appropriateness guidelines

Material Adverse Change (MAC)
December 2021 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology clinical appropriateness guideline

Material Adverse Change (MAC)
December 2021 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging clinical appropriateness guideline

Material Adverse Change (MAC)
December 2021 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - professional

Material Adverse Change (MAC)

December 2021 Newsletter Reimbursement Policies Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - professional

Material Adverse Change (MAC)

December 2021 Newsletter Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Virtual Visits - professional and facility

December 2021 Newsletter Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Drug Screen Testing (effective March 1, 2022)

December 2021 Newsletter Medicaid Dec 1, 2021

Reimbursement policy update: Multiple and Bilateral Surgery - Professional and Facility (effective 03/01/22)

December 2021 Newsletter Medicaid Dec 1, 2021

HEDIS measures: Follow-Up After ED Visits for Mental Illness and Alcohol and Drug Dependency

December 2021 Newsletter Medicaid Dec 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

December 2021 Newsletter Medicaid Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines

December 2021 Newsletter Medicaid Dec 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

December 2021 Newsletter Medicaid Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Newsletter Medicaid Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Newsletter Medicaid Dec 1, 2021

Keep up with Medicaid news - December 2021

View these Medicaid articles:

  • Durable medical equipment prior authorization requirement changes effective December 1, 2021
  • Cancer Care Navigator
  • Medical drug benefit Clinical Criteria updates
  • Prior authorization updates for medications billed under the medical
    benefit
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
December 2021 Newsletter Medicaid Dec 1, 2021

City of New York GRS Alliance Program (Updated 12/3/21)

December 2021 Newsletter Medicare Dec 1, 2021

Webinars for City of New York retirees transitioning to new Medicare Advantage plan (Updated 12/3/21)

December 2021 Newsletter Medicare Dec 1, 2021

Reimbursement Policy Update: Drug Screen Testing (effective March 1, 2022)

December 2021 Newsletter Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines

December 2021 Newsletter Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Newsletter Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Newsletter Medicare Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Newsletter Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Newsletter Medicare Dec 1, 2021

Keep up with Medicare news - December 2021

View these Medicare articles:

  • Medical drug benefit Clinical Criteria updates
  • FAQ: NYC Medicare Advantage Plus
  • Protocol for providers serving members with hearing aid
    coverage administered by Hearing Care Solutions
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
December 2021 Newsletter Medicare Dec 1, 2021

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Empire professionals about the disproportionate impact of the pandemic on communities of color.

Grief & Loss Forum Administrative Nov 29, 2021

City of New York Retirees transition to NYC Medicare Advantage Plus (Updated 12/3/21)

City of New York Retirees Transition to NYC Medicare Advantage Plus Administrative Nov 2, 2021

Blue High Performance Network name changing for 2022

November 2021 Newsletter Administrative Nov 1, 2021

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

November 2021 Newsletter Administrative Nov 1, 2021

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

November 2021 Newsletter Administrative Nov 1, 2021

Time to prepare for HEDIS® medical record review

November 2021 Newsletter Administrative Nov 1, 2021

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

November 2021 Newsletter Administrative Nov 1, 2021

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

November 2021 Newsletter Administrative Nov 1, 2021

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

November 2021 Newsletter Administrative Nov 1, 2021

Be antibiotics aware: Protect your patient

November 2021 Newsletter Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Newsletter Administrative Nov 1, 2021

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

November 2021 Newsletter Administrative Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Newsletter Digital Tools Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Newsletter Digital Tools Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Newsletter Products & Programs Nov 1, 2021

Important update on Botox® for Empire members

November 2021 Newsletter Pharmacy Nov 1, 2021

Specialty pharmacy updates are available - November 2021

Material Adverse Change (MAC) notification

November 2021 Newsletter Pharmacy Nov 1, 2021

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

November 2021 Newsletter Reimbursement Policies Nov 1, 2021

New York state Medicaid expansion of coverage for colorectal cancer screening

November 2021 Newsletter Medicaid Nov 1, 2021

Electronic data interchange process

November 2021 Newsletter Medicaid Nov 1, 2021

Clinical Criteria updates

November 2021 Newsletter Medicaid Nov 1, 2021

Unspecified diagnosis reminder

November 2021 Newsletter Medicaid Nov 1, 2021

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

November 2021 Newsletter Medicaid Nov 1, 2021

Keep up with Medicaid news - November 2021

View these Medicaid articles:
  • Medicaid continuous glucose monitoring systems
  • Prior authorization updates for specialty pharmacy
November 2021 Newsletter Medicaid Nov 1, 2021

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

November 2021 Newsletter Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Newsletter Medicare Nov 1, 2021

Clinical Criteria updates

November 2021 Newsletter Medicare Nov 1, 2021

Empire BlueCross BlueShield offering Advance Medical Directives program for 2022

November 2021 Newsletter Medicare Nov 1, 2021

Keep up with Medicare news - November 2021

View this Medicare article:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
November 2021 Newsletter Medicare Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge Administrative Oct 21, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - New York Administrative Oct 5, 2021

Familiarize yourself with Empire’s Simplified Networks

October 2021 Newsletter Administrative Oct 1, 2021

Meet Dr. Carolyn Langer, Empire’s new Chief Medical Officer

October 2021 Newsletter Administrative Oct 1, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Newsletter Administrative Oct 1, 2021

Clarification: Empire’s enhanced claim edits for outpatient facility claims

October 2021 Newsletter Administrative Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Newsletter Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

October 2021 Newsletter Administrative Oct 1, 2021

Looking to earn continuing medical education credits? Register for these on-demand webinars

October 2021 Newsletter Administrative Oct 1, 2021

Clinical appeals

October 2021 Newsletter Administrative Oct 1, 2021

Provider claim payment disputes for Empire’s Commercial lines of business

October 2021 Newsletter Digital Tools Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Newsletter Digital Tools Oct 1, 2021

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers – replacing CAQH Enrollhub effective November 1, 2021

October 2021 Newsletter Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Newsletter Digital Tools Oct 1, 2021

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
October 2021 Newsletter Pharmacy Oct 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022

Material adverse change (MAC) notification

October 2021 Newsletter Pharmacy Oct 1, 2021

Specialty pharmacy updates - October 2021

Material adverse change (MAC) notification
October 2021 Newsletter Pharmacy Oct 1, 2021

Pharmacy information available on empireblue.com

October 2021 Newsletter Pharmacy Oct 1, 2021

Medical policy and clinical guideline updates

Material adverse change (MAC) notification

October 2021 Newsletter Medical Policy & Clinical Guidelines Oct 1, 2021

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

October 2021 Newsletter Medicaid Oct 1, 2021

Diabetes testing and screening HEDIS measures

October 2021 Newsletter Medicaid Oct 1, 2021

New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)

October 2021 Newsletter Medicaid Oct 1, 2021

FAQ: Update to AIM phone number

October 2021 Newsletter Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy IV

October 2021 Newsletter Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy V

October 2021 Newsletter Medicaid Oct 1, 2021
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