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Title Publication Category Date

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

September 2019 Empire Provider News Pharmacy Sep 1, 2019

Clinical Criteria updates for specialty pharmacy are available

September 2019 Empire Provider News Pharmacy Sep 1, 2019

Access requirements for Behavioral Healthcare services

September 2019 Empire Provider News Behavioral Health Sep 1, 2019

Reminder: Changes to timely filing requirements for Medicare Advantage

September 2019 Empire Provider News Administrative Sep 1, 2019

PCP after-hours access requirements

September 2019 Empire Provider News Administrative Sep 1, 2019

Empire launches Sydney on September 1; New app offers better digital health care support to members

September 2019 Empire Provider News Administrative Sep 1, 2019

Reminder about lab services for Suffolk County members

September 2019 Empire Provider News Administrative Sep 1, 2019

Empire CRA Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Empire Provider News Administrative Sep 1, 2019

Provider Transparency Update

September 2019 Empire Provider News Administrative Sep 1, 2019

Policy updates

September 2019 Empire Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Coding Updates

September 2019 Empire Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019

September 2019 Empire Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

New Reimbursement Policy - Maternity Services and Multiple Delivery - Professional

September 2019 Empire Provider News Reimbursement Policies Sep 1, 2019

New Reimbursement Policy - Intensity Modulated Radiation Therapy Planning and Delivery - Professional

September 2019 Empire Provider News Reimbursement Policies Sep 1, 2019

Claim editing update for Excludes1 notes

September 2019 Empire Provider News Reimbursement Policies Sep 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicaid Sep 1, 2019

Prior authorization changes

September 2019 Empire Provider News Medicaid Sep 1, 2019

Evaluation and management services - over-coded services

September 2019 Empire Provider News Medicaid Sep 1, 2019

Clinical Criteria updates

September 2019 Empire Provider News Medicaid Sep 1, 2019

MCG Care Guidelines update and customizations

September 2019 Empire Provider News Medicaid Sep 1, 2019

Ensuring quality of care when prescribing antipsychotic medications to children and adolescents

September 2019 Empire Provider News Medicaid Sep 1, 2019

Provider satisfaction survey

September 2019 Empire Provider News Medicaid Sep 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicare Sep 1, 2019

Changes to PA requirements

September 2019 Empire Provider News Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Empire Provider News Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Empire Provider News Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Empire Provider News Medicare Sep 1, 2019

Medicare Advantage: New service types added to Availity

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage: New Reimbursement Policy: Drug Screen Testing (Policy 19-001, effective 10/01/19)

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage: Special needs plans - provider training required

August 2019 Empire Provider News Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Empire Provider News Medicare Aug 1, 2019

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

August 2019 Empire Provider News Pharmacy Aug 1, 2019

Reminder: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

August 2019 Empire Provider News Pharmacy Aug 1, 2019

Pharmacy information available on empireblue.com

August 2019 Empire Provider News Pharmacy Aug 1, 2019

Empire customization's to MCG care guidelines 23rd edition

August 2019 Empire Provider News Administrative Aug 1, 2019

New online Provider Manual page

August 2019 Empire Provider News Administrative Aug 1, 2019

Policy updates

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Reimbursement Policy Updates

August 2019 Empire Provider News Reimbursement Policies Aug 1, 2019

Update regarding Evaluation and Management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)

August 2019 Empire Provider News Reimbursement Policies Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Empire Provider News Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Empire Provider News Medicaid Aug 1, 2019

Use the Provider Maintenance Form to update your information

August 2019 Empire Provider News Medicaid Aug 1, 2019

Prepayment clinical validation review process

August 2019 Empire Provider News Medicaid Aug 1, 2019

Keep up with Medicaid news

August 2019 Empire Provider News Medicaid Aug 1, 2019

Medicare Advantage: AIM Specialty Health programs may require documentation

August 2019 Empire Provider News Medicare Aug 1, 2019

UPDATE: new Rehabilitative Program remains temporarily delayed

UPDATE: new Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 2019

UPDATE: New Rehabilitative Program now effective August 1, 2019

Important Update from Empire Products & Programs Jul 3, 2019

Pharmacy Benefit Manager Change

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical Validation - Professional

July 2019 Empire Provider News Administrative Jul 1, 2019

Changes to timely filing requirements for Medicare Advantage

July 2019 Empire Provider News Administrative Jul 1, 2019

Make the move to the Availity EDI Gateway today

July 2019 Empire Provider News Administrative Jul 1, 2019

CRA Reporting Update: 2019 Program Year Progression - What’s in it for you and your patients?

July 2019 Empire Provider News Administrative Jul 1, 2019

Empire Works to Simplify Payment Recovery Process for National Accounts Membership

July 2019 Empire Provider News Administrative Jul 1, 2019

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Empire Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Empire Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

Reimbursement Policy updates

July 2019 Empire Provider News Reimbursement Policies Jul 1, 2019

Empire Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Empire Provider News Federal Employee Plan (FEP) Jul 1, 2019

Medicare Advantage: Electronic claim payment reconsideration

July 2019 Empire Provider News Medicare Jul 1, 2019

Medicare Advantage: Sepsis diagnosis coding and billing reminder

July 2019 Empire Provider News Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Empire Provider News Medicare Jul 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

July 2019 Empire Provider News Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Empire Provider News Medicare Jul 1, 2019

New service types added to Availity

July 2019 Empire Provider News Medicaid Jul 1, 2019

Trauma-informed care

July 2019 Empire Provider News Medicaid Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Empire Provider News Medicaid Jul 1, 2019

Unspecified diagnosis code update

July 2019 Empire Provider News Medicaid Jul 1, 2019

Coding Spotlight: Hypertension, A providers’ guide for coding

July 2019 Empire Provider News Medicaid Jul 1, 2019

Health Homes - a valuable provider of community-based care coordination

July 2019 Empire Provider News Medicaid Jul 1, 2019

Reimbursement Policy Update: Multiple Radiology Payment Reduction (Policy 12-002)

July 2019 Empire Provider News Medicaid Jul 1, 2019

Pharmacy benefit manager change

July 2019 Empire Provider News Medicaid Jul 1, 2019

New York City Department of Health advisory: HIV outbreak risk factors are present in New York City

July 2019 Empire Provider News Medicaid Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Empire Provider News Medicaid Jul 1, 2019

Anthem, Inc. to acquire Beacon Health Options

N/A Administrative Jun 6, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Empire Provider Newsletter Products & Programs Jun 1, 2019

AIM programs may require additional prior authorization documentation

June 2019 Empire Provider Newsletter Products & Programs Jun 1, 2019

Empire Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

June 2019 Empire Provider Newsletter Pharmacy Jun 1, 2019

Empire expands specialty pharmacy prior authorization list

June 2019 Empire Provider Newsletter Pharmacy Jun 1, 2019

Pharmacy information available on empireblue.com

June 2019 Empire Provider Newsletter Pharmacy Jun 1, 2019

Updated Provider Manual now available

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Empire launches additional changes to empireblue.com for Q2

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Find A Doctor: New Sort Option

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Coming Soon: Empire Electronic Attachments

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Change coming to Claim Status Inquiry and Secure Messaging on the Availity Portal

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Empire CRA Reporting Update: Retrospective Program begins

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Update: Sepsis Coding

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Lab services reminder for Employee Health Plan of Suffolk County

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available online

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Clinical Guideline (CG-ANC-07) effective July 1, 2019

June 2019 Empire Provider Newsletter Policy Updates Jun 1, 2019

Frequency Editing - Professional

June 2019 Empire Provider Newsletter Reimbursement Policies Jun 1, 2019

Ambulance Transportation - Professional

June 2019 Empire Provider Newsletter Reimbursement Policies Jun 1, 2019

Remittance Inquiry tool now available

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Prior authorization requirement update

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019
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