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Articles Recent

Title	Publication	Category	Date
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
Remittance Inquiry tool now available	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019
Intervention for blood sugar control in pregnant women with diabetes	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019
Review of professional claims with emergency department level 5 E&M codes	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019
Complex Case Management program	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019
Important information about utilization management	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019
Members’ Rights and Responsibilities Statement	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019
Empire expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema	May 2019 Empire Provider Newsletter	Pharmacy	May 1, 2019
Empire specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents	May 2019 Empire Provider Newsletter	Pharmacy	May 1, 2019
Pharmacy information available on empireblue.com	May 2019 Empire Provider Newsletter	Pharmacy	May 1, 2019
Electronic Member ID Cards: Easy online access on the Availity Portal	May 2019 Empire Provider Newsletter	Administrative	May 1, 2019
Review of professional claims with emergency room level 5 E/M codes	May 2019 Empire Provider Newsletter	Administrative	May 1, 2019
Be sure to verify your demographic information	May 2019 Empire Provider Newsletter	Administrative	May 1, 2019
MCG care guidelines 23rd Edition	May 2019 Empire Provider Newsletter	Administrative	May 1, 2019
Empire CRA Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement	May 2019 Empire Provider Newsletter	Administrative	May 1, 2019
ATTENTION! Availity launches additional changes to the new look to our Medical Attachment submission tool	May 2019 Empire Provider Newsletter	Administrative	May 1, 2019
Clinical practice and preventive health guidelines available online	May 2019 Empire Provider Newsletter	Administrative	May 1, 2019
Empire Contracted Ambulance Providers	May 2019 Empire Provider Newsletter	Administrative	May 1, 2019
Medical Policy and Clinical Guideline Updates	May 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 1, 2019
Coding Updates	May 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 1, 2019
Reimbursement Policy Update - Drug Screen Testing (Professional)	May 2019 Empire Provider Newsletter	Reimbursement Policies	May 1, 2019
Partial hospitalization services	May 2019 Empire Provider Newsletter	Medicare	May 1, 2019
Keep up with Medicare news	May 2019 Empire Provider Newsletter	Medicare	May 1, 2019
Clinical Criteria updates	May 2019 Empire Provider Newsletter	Medicaid	May 1, 2019
Reminder of New Referral Process	April 2019 Empire Provider Newsletter	Products & Programs	Apr 1, 2019
New AIM Rehabilitative program effective July 1, 2019	April 2019 Empire Provider Newsletter	Products & Programs	Apr 1, 2019
Empire expands specialty pharmacy prior authorization list	April 2019 Empire Provider Newsletter	Pharmacy	Apr 1, 2019
Pharmacy information available on empireblue.com	April 2019 Empire Provider Newsletter	Pharmacy	Apr 1, 2019
Empire CRA Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided	April 2019 Empire Provider Newsletter	Administrative	Apr 1, 2019
New on Interactive Care Reviewer: Request Clinical Appeals	April 2019 Empire Provider Newsletter	Administrative	Apr 1, 2019
Clinical practice and preventive health guidelines available online	April 2019 Empire Provider Newsletter	Administrative	Apr 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?	April 2019 Empire Provider Newsletter	Administrative	Apr 1, 2019
Medical Policy and Clinical Guideline Updates	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
New Reimbursement Policy - Partial Hospitalization Program and Intensive Outpatient Program Services Facility	April 2019 Empire Provider Newsletter	Reimbursement Policies	Apr 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	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Keep up with Medicare news	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Online registration processes for electronic funds transfers and electronic remittance advices	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Clinical Criteria updates	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Help prevent preeclampsia with prenatal aspirin	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Correction: Cervical length measurement by transvaginal ultrasound	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Medical necessity review for appropriate level of care	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Online registration processes for electronic funds transfers and electronic remittance advices	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019

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