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Articles Recent

Title Publication Category Date

REMINDER: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Empire Provider News Products & Programs Dec 1, 2019

Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members

December 2019 Empire Provider News Products & Programs Dec 1, 2019

Case Management Program

December 2019 Empire Provider News Products & Programs Dec 1, 2019

Pharmacy information available on empireblue.com

December 2019 Empire Provider News Pharmacy Dec 1, 2019

Clinical Criteria updates for specialty pharmacy are available

December 2019 Empire Provider News Pharmacy Dec 1, 2019

2020 Network Changes

December 2019 Empire Provider News Administrative Dec 1, 2019

Announcing a New Network - Connection

December 2019 Empire Provider News Administrative Dec 1, 2019

Blue Access Expands to Include Large Groups

December 2019 Empire Provider News Administrative Dec 1, 2019

New - Individual Network

December 2019 Empire Provider News Administrative Dec 1, 2019

Verifying and updating your provider information

December 2019 Empire Provider News Administrative Dec 1, 2019

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Empire Provider News Administrative Dec 1, 2019

Empire Works to Simplify Payment Recovery Process for National Accounts Membership

December 2019 Empire Provider News Administrative Dec 1, 2019

Empire BCBS HealthPlus to be removed from Availity’s Payer Menu

December 2019 Empire Provider News Administrative Dec 1, 2019

Retrieve your Empire Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

December 2019 Empire Provider News Administrative Dec 1, 2019

Coordination of Care

December 2019 Empire Provider News Administrative Dec 1, 2019

Important Information about Utilization Management

December 2019 Empire Provider News Administrative Dec 1, 2019

Members’ Rights and Responsibilities

December 2019 Empire Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on empireblue.com/provider

December 2019 Empire Provider News Administrative Dec 1, 2019

New Reimbursement Policy Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers (Professional)

December 2019 Empire Provider News Reimbursement Policies Dec 1, 2019

System updates for 2020 - Professional

December 2019 Empire Provider News Reimbursement Policies Dec 1, 2019

Coordination of Benefits for an FEP® member

December 2019 Empire Provider News Federal Employee Plan (FEP) Dec 1, 2019

Reminder to Medicare Advantage providers

December 2019 Empire Provider News Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Empire Provider News Medicare Dec 1, 2019

City of Cincinnati Retirement System to offer Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

East End Health Plan offers Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

Provider training series

December 2019 Empire Provider News Medicare Dec 1, 2019

Keep up with Medicare News

December 2019 Empire Provider News Medicare Dec 1, 2019

Reminder about AIM’s new Rehabilitative Program effective November 1, 2019

November 2019 Empire Provider News Products & Programs Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Prior authorization updates for specialty pharmacy are available

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Clinical Criteria updates for specialty pharmacy are available

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019

November 2019 Empire Provider News Administrative Nov 1, 2019

Additional improvements coming to empireblue.com

November 2019 Empire Provider News Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Empire Provider News Administrative Nov 1, 2019

Medical Policy & Clinical Guideline updates

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Empire Provider News Medicaid Nov 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

November 2019 Empire Provider News Medicaid Nov 1, 2019

Keep up with Medicaid news

November 2019 Empire Provider News Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Empire Provider News Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Empire Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Empire Provider News Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Empire Provider News Medicare Nov 1, 2019

Get the latest critical information from Empire that impacts you; View Provider News for easy access at your fingertips

Critical information from Empire Administrative Oct 8, 2019

UPDATE: New AIM Rehabilitative Program will begin November 1, 2019

October 2019 Empire Provider News Products & Programs Oct 1, 2019

Empire specialty pharmacy medical step therapy drug list - clarification

October 2019 Empire Provider News Pharmacy Oct 1, 2019

Important update to Empire’s commercial drug lists

October 2019 Empire Provider News Pharmacy Oct 1, 2019

Pharmacy information available on empireblue.com

October 2019 Empire Provider News Pharmacy Oct 1, 2019

Empire launches additional changes to empireblue.com/provider

October 2019 Empire Provider News Administrative Oct 1, 2019

National Accounts 2020 Pre-certification list

October 2019 Empire Provider News Administrative Oct 1, 2019

Empire CRA Reporting Update: Retrospective Program continues

October 2019 Empire Provider News Administrative Oct 1, 2019

Empire engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

October 2019 Empire Provider News Administrative Oct 1, 2019

Reimbursement Policy update

October 2019 Empire Provider News Reimbursement Policies Oct 1, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

October 2019 Empire Provider News Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program

October 2019 Empire Provider News Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Empire Provider News Federal Employee Plan (FEP) Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Empire Provider News Medicare Oct 1, 2019

Attention: updated physician lab fee schedules for Medicare Advantage products

October 2019 Empire Provider News Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

October 2019 Empire Provider News Medicare Oct 1, 2019

Update: 2019 risk adjustment provider training

October 2019 Empire Provider News Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Empire Provider News Medicare Oct 1, 2019

Lowering health risks with no-cost statins

October 2019 Empire Provider News Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Empire Provider News Medicare Oct 1, 2019

Keep up with Medicare news

October 2019 Empire Provider News Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - March 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Empire Provider News Medicaid Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Keep up with Medicaid news

October 2019 Empire Provider News Medicaid Oct 1, 2019

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
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