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Title Publication Category Date

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

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
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