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Articles Category: State & Federal > Medicare

Title Publication Category Date

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

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

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

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

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

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

Empire offers risk adjustment and documentation training

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

When and how to initiate Medicare Advantage reopenings

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

MediBlue Select HMO Network expands effective January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medical Policies updated

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Empire transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Group sponsored Medicare Advantage plan members to receive new ID cards

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

MA members receive incentives for completing screenings

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

DME providers and physicians: important wheelchair prior authorization information

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

MyDiversePatients.com addresses health care disparities

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Keep up with Medicare news

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Cologuard covered for Medicare Advantage

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Peer-to-peer process can help clarify clinical record

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Connecticut Teachers’ Retirement Board Offers Medicare Advantage Option

June 2018 Empire Provider Newsletter Medicare May 30, 2018

MA home health network to be delegated to myNEXUS

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Medication adherence incentive offered to EPHC providers

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Keep up with Medicare news

June 2018 Empire Provider Newsletter Medicare May 30, 2018
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