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Title	Publication	Category	Date
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
Provider surveys	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Practitioners’ rights during credentialing process	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest	March 2019 Empire Provider Newsletter	Products & Programs	Mar 1, 2019
Some of your patients will begin moving to IngenioRx in Q2 2019	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Important update to Empire’s commercial drug lists	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Important reminder regarding Specialty Pharmacy clinical site of care program	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Member Satisfaction with Behavioral Health Outpatient Services	March 2019 Empire Provider Newsletter	Behavioral Health	Mar 1, 2019
Revised New York State Department of Health Clauses for Managed Care Provider/IPA/ACO Contracts and Amendment	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
Attention: Updated or New Fee Schedules for Commercial products	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
Site of Service Update	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
Empire launches additional changes to empireblue.com in March	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
Latest Updates to EDI Gateway Migration	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
Explore the updates to the Medical Attachment Tool	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
Provider Transparency Update	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
HEDIS 2019: Controlling High Blood Pressure	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
Clinical practice and preventive health guidelines available online	March 2019 Empire Provider Newsletter	Administrative	Mar 1, 2019
Un-adopted clinical guidelines effective January 1, 2019	March 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Mar 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Dual Eligible Special Needs Plans - provider training required	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Change to 835 ERA for all D-SNP MA members for 2019	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Keep up with Medicare news	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Update: evaluation and management with Modifier 25	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Reimbursement Policy Update	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Coding Spotlight: Cancer A provider’s guide to properly code cancers	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Access patient-specific drug benefit information through electronic medical records	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Neonatal intensive care unit post-traumatic stress disorder program	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Empire expands specialty pharmacy medical step therapy drug list	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Empire expands specialty pharmacy prior authorization list	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Clinical criteria updates for specialty pharmacy	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Pharmacy information available on empireblue.com	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Empire to enhance claim edits for outpatient facility claims	February 2019 Empire Provider Newsletter	Administrative	Feb 1, 2019
Clinical practice and preventive health guidelines available online	February 2019 Empire Provider Newsletter	Administrative	Feb 1, 2019
New and adopted clinical guidelines effective May 1, 2019	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Un-adopted clinical guidelines effective February 1, 2019	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Injectable Substances with Related Injection Services - (Professional)	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
Body Mass Index (BMI) - Facility	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
Reminder Review ICD-10-CM Coding Guidelines - Professional	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
HEDIS 2019 Federal Employee Program medical record request requirements	February 2019 Empire Provider Newsletter	Federal Employee Plan (FEP)	Feb 1, 2019
Reminder - Empire follows Original Medicare policies	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Use grouped CPT codes for AIM Specialty Health authorizations	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Empire eye refraction and routine eye exam billing information	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
New specialty Medicare Part B device preferred product program	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Keep up with Medicare news	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
New specialty pharmacy medical step therapy requirements	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
Diabetes Coding	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
Anthem Announces Early Launch of IngenioRx	N/A	N/A	Jan 30, 2019
New Year Brings New ID Cards - and New ID Numbers - for Many Empire Members	January Empire Network eUPDATE	Administrative	Jan 25, 2019
Simplifying medication prior authorization processes	January 2019 Empire Provider Newsletter	Pharmacy	Jan 1, 2019
Update regarding drugs not approved by the FDA	January 2019 Empire Provider Newsletter	Pharmacy	Jan 1, 2019
Pharmacy information available on empireblue.com	January 2019 Empire Provider Newsletter	Pharmacy	Jan 1, 2019
Attention: Updated or New Fee Schedules for Commercial products	January 2019 Empire Provider Newsletter	Administrative	Jan 1, 2019
Final Notice: Empire Facility and Physician Portal Retirement - January 9, 2019	January 2019 Empire Provider Newsletter	Administrative	Jan 1, 2019
Streamline Workflow with Medical Attachments Tool	January 2019 Empire Provider Newsletter	Administrative	Jan 1, 2019
Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use	January 2019 Empire Provider Newsletter	Administrative	Jan 1, 2019

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