New York
Provider Communications

Articles Recent

Title Publication Category Date

Physician Office Lab (POL) List - October updates postponed

October 2022 Newsletter Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Newsletter Administrative Oct 1, 2022

Precertification list change

Material Adverse Change (MAC)
October 2022 Newsletter Administrative Oct 1, 2022

National Accounts 2023 Pre-certification list

October 2022 Newsletter Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Newsletter Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Newsletter Digital Tools Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Newsletter Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

Material Adverse Change (MAC)
October 2022 Newsletter Pharmacy Oct 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
October 2022 Newsletter Pharmacy Oct 1, 2022

Pharmacy information available on empireblue.com

October 2022 Newsletter Pharmacy Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

Material Adverse Change (MAC)
October 2022 Newsletter Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Material Adverse Change (MAC)
October 2022 Newsletter Reimbursement Policies Oct 1, 2022

Availity Provider Chat - a fast, easy way to get your UM questions answered for Federal Employees

October 2022 Newsletter Federal Employee Plan (FEP) Oct 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

October 2022 Newsletter Medicaid Oct 1, 2022

Monkeypox resources and recommendations for our care providers

October 2022 Newsletter Medicaid Oct 1, 2022

Members’ Rights and Responsibilities

October 2022 Newsletter Medicaid Oct 1, 2022

Complex Case Management program

October 2022 Newsletter Medicaid Oct 1, 2022

Flu vaccination reimbursement

October 2022 Newsletter Medicaid Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

October 2022 Newsletter Medicaid Oct 1, 2022

Keep up with Medicaid news - October 2022

View these Medicaid articles:
  • Prior authorization updates for medications billed under the medical benefit – effective 11/1/22
  • Prior authorization updates for medications billed under the medical benefit – effective 12/1/22
  • New specialty pharmacy medical step therapy requirements
October 2022 Newsletter Medicaid Oct 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

October 2022 Newsletter Medicare Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

October 2022 Newsletter Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Newsletter Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

October 2022 Newsletter Medicare Oct 1, 2022

Keep up with Medicare news - October 2022

View these Medicare articles:
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list 
  • Consultation codes
October 2022 Newsletter Medicare Oct 1, 2022

Continuing to explore the intersection of race and disability

Continuing to Explore the Intersection of Race and Disability forum - New York Administrative Sep 9, 2022

Continuing to explore the intersection of race and disability

September 2022 Newsletter Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Newsletter Administrative Sep 1, 2022

New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Newsletter Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Newsletter Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Newsletter Administrative Sep 1, 2022

Empire to accept Hospital in Home services

September 2022 Newsletter Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Newsletter Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Newsletter Digital Tools Sep 1, 2022

New Back Pain Management Program

September 2022 Newsletter Products & Programs Sep 1, 2022

Specialty pharmacy updates - September 2022

Material Adverse Change (MAC)
September 2022 Newsletter Pharmacy Sep 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
September 2022 Newsletter Pharmacy Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Newsletter Pharmacy Sep 1, 2022

Reimbursement policy update - Modifier Rules (Professional)

Material Adverse Change (MAC)
September 2022 Newsletter Reimbursement Policies Sep 1, 2022

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

September 2022 Newsletter Reimbursement Policies Sep 1, 2022

Reimbursement policy update - Modifier 66: Surgical Teams (Professional)

September 2022 Newsletter Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Newsletter Federal Employee Plan (FEP) Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57: Evaluation and Management with Global Procedures (Policy G- 06003), (Informational only)

September 2022 Newsletter Medicaid Sep 1, 2022

Clinical Criteria updates

September 2022 Newsletter Medicaid Sep 1, 2022

New specialty pharmacy medical step therapy requirements

September 2022 Newsletter Medicaid Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Newsletter Medicaid Sep 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Newsletter Medicaid Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Newsletter Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57: Evaluation and Management with Global Procedures (Policy G- 06003)

September 2022 Newsletter Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Newsletter Medicare Sep 1, 2022

Empire BlueCross BlueShield expands specialty pharmacy precertification list – effective 11/1/2022

September 2022 Newsletter Medicare Sep 1, 2022

Empire BlueCross BlueShield expands specialty pharmacy precertification list - effective 12/1/2022

September 2022 Newsletter Medicare Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Newsletter Medicare Sep 1, 2022

Keep up with Medicare news - September 2022

View this Medicare article:
  • Clinical Criteria Updates
  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
September 2022 Newsletter Medicare Sep 1, 2022

Correction: Physician Office Lab list updates effective October 1, 2022

Material Adverse Change (MAC)
August 2022 Newsletter Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Newsletter Administrative Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Newsletter Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Newsletter Digital Tools Aug 1, 2022

Performance enhancements to the authorization application on Availity Essentials

August 2022 Newsletter Digital Tools Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Newsletter Behavioral Health Aug 1, 2022

Specialty pharmacy updates

Material Adverse Change (MAC)
August 2022 Newsletter Pharmacy Aug 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
August 2022 Newsletter Pharmacy Aug 1, 2022

Pharmacy information available online

August 2022 Newsletter Pharmacy Aug 1, 2022

Medical Policy and Clinical Guideline updates

Material Adverse Change (MAC)
August 2022 Newsletter Medical Policy & Clinical Guidelines Aug 1, 2022

HEDIS 2022: Summary of changes from NCQA

August 2022 Newsletter Medicaid Aug 1, 2022

Chlamydia screening

August 2022 Newsletter Medicaid Aug 1, 2022

Using SBIRT to address opioid and substance use disorders

August 2022 Newsletter Medicaid Aug 1, 2022

The cost of alcohol use disorder

August 2022 Newsletter Medicaid Aug 1, 2022

Prior authorization requirement changes updated effective date November 1, 2022

August 2022 Newsletter Medicaid Aug 1, 2022

Prior authorizations for post-acute care

August 2022 Newsletter Medicare Aug 1, 2022

Empire expands specialty pharmacy precertification list

August 2022 Newsletter Medicare Aug 1, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar Administrative Jul 20, 2022

Reimbursement policy update: Laboratory and Venipuncture Services - Professional & Facility

Material Adverse Change (MAC)

July 2022 Newsletter Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU - professional

Material Adverse Change (MAC)

July 2022 Newsletter Reimbursement Policies Jul 1, 2022

New reimbursement policy: Transitional Care Management - professional

July 2022 Newsletter Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy — Sexually Transmitted Infections - professional

July 2022 Newsletter Reimbursement Policies Jul 1, 2022

New reimbursement policy: Place of Service - facility

Material Adverse Change (MAC)
July 2022 Newsletter Reimbursement Policies Jul 1, 2022

Radiology prior authorization review transitioning to AIM

July 2022 Newsletter Federal Employee Plan (FEP) Jul 1, 2022

Prior authorization requirement changes effective August 1, 2022

July 2022 Newsletter Medicaid Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Newsletter Medicaid Jul 1, 2022

Update to electronic verification visit key points

July 2022 Newsletter Medicaid Jul 1, 2022

Provider reimbursement for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Counseling program

July 2022 Newsletter Medicaid Jul 1, 2022

Keep up with Medicaid news- July 2022

View these Medicaid articles:

  • Three-point match verification for professional claims payment
  • Prior authorization updates for medications billed under the medical benefit
  • Updates for medication codes billed under the medical benefit
July 2022 Newsletter Medicaid Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Newsletter Medicare Jul 1, 2022

Bedford Central School District, New York moves to the Empire BlueCross BlueShield Retiree Solutions Medicare Advantage Plan

July 2022 Newsletter Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Newsletter Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Newsletter Medicare Jul 1, 2022

Keep up with Medicare news - July 2022

View this Medicare article:

  • New specialty pharmacy medical step therapy requirements
July 2022 Newsletter Medicare Jul 1, 2022

Physician Office Lab Listing - updates effective August 1, 2022

July 2022 Newsletter Administrative Jul 1, 2022

Provider manual updated effective October 1, 2022

July 2022 Newsletter Administrative Jul 1, 2022

Introducing Elevance Health - Focusing on whole health and its most powerful drivers

July 2022 Newsletter Administrative Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Newsletter Administrative Jul 1, 2022

Updates to edits associated with implants

July 2022 Newsletter Administrative Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Newsletter Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Newsletter Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Newsletter Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Newsletter Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Newsletter Administrative Jul 1, 2022

Coming soon: The Empire BlueCross BlueShield Provider Learning Hub makes Availity learning easier

July 2022 Newsletter Digital Tools Jul 1, 2022

Enhancing claims attachment processes through digital applications

July 2022 Newsletter Digital Tools Jul 1, 2022
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