New York
Provider Communications

Articles

Title	Publication	Category	Date
Important Update: June 15, 2018 - Access to the Empire Facility / Professional Secure Portals Only on the Availity Portal	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Availity is now our designated EDI Gateway	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Introducing Interactive Care Reviewer for Online Authorizations	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Empire streamlines member identification cards	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Updated Provider Manual now available	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Receive Direct Deposit of Patient Payments with Healthcare Bill Payments	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Reminder: Miscellaneous durable medical equipment billing guideline:	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Update to claim processing for services requiring AIM prior authorization	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Coverage Guideline not implemented - Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing (CG-MED-53)	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Empire expands specialty pharmacy prior authorization list	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Reminder: Empire accepts prior authorization requests for prescription medications online	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Pharmacy information available on empireblue.com/provider	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Verifying eligibility for expanded hospice benefits	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire’s Individualized Care Program to support palliative care for commercial members	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire Adopts MCG Care Guidelines for Behavioral Health Services	June 2018 Empire Provider Newsletter	Behavioral Health	May 30, 2018
Outpatient visits	June 2018 Empire Provider Newsletter	Behavioral Health	May 30, 2018
Policy Updates	June 2018 Empire Provider Newsletter	Policy Updates	May 30, 2018
Medical Policy Updates	June 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 30, 2018
Clinical Guideline Updates	June 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 30, 2018
Professional Reimbursement Policy Update	June 2018 Empire Provider Newsletter	Reimbursement Policies	May 30, 2018
Reimbursement Policy Reminder - Durable Medical Equipment (Professional)	June 2018 Empire Provider Newsletter	Reimbursement Policies	May 30, 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
Empire to conduct post-payment reviews of distinct procedural services modifiers	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Miscellaneous durable medical equipment billing guidelines	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Prior authorization requirement update for Mylotarg (gemtuzumab ozogamicin)	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Electrical stimulation device to require prior authorization	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Lower extremity vascular intervention codes require prior authorization	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Prior authorization requirements for Darzalex (daratumumab) drug	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Services requiring prior authorization	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Medical Policies and Clinical Utilization Management Guidelines update	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Behavioral health network provider training	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Behavioral health Discharge Action Plan: improving care transitions	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Provider surveys	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Use the Provider Maintenance Form to update your information	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Complex Case Management program	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
What Matters Most: Improving the Patient Experience	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Coding Spotlight: Pregnancy, A provider’s guide to diagnose and code for pregnancy	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Making a change for the better - FEP® system migration information	June 2018 Empire Provider Newsletter	Federal Employee Plan (FEP)	May 30, 2018
Making a change for the better - FEP system migration information.	July 2018 Empire Network eUpdate	Federal Employee Plan (FEP)	Jul 2, 2018
Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Policy Updates	August 2018 Empire Provider Newsletter	Policy Updates	Aug 1, 2018
Medical Policy Updates	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Clinical Guideline Updates	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Review medical policy and clinical guidelines when referring services to a facility	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Update to Venipuncture Services Medical Policy effective March 1, 2018	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Archived medical policy	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Reimbursement Policy Updates	August 2018 Empire Provider Newsletter	Reimbursement Policies	Aug 1, 2018
Making a change for the better - FEP system migration information	August 2018 Empire Provider Newsletter	Federal Employee Plan (FEP)	Aug 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
Electronic Data Interchange migration to Availity	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
New pregnancy notification process using the Availity Portal Benefit Look-Up tool	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Normal newborn diagnosis-related group claims processing update	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Prior authorization requirements for Cabazitaxel (Jevtana)	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Coding Spotlight - Obesity	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Reimbursement Policy Update: Medical Recalls	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
New HEDIS/QARR measures for 2018	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Home- and community-based services for Health and Recovery Plan beneficiaries	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Important information about utilization management	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Member’s Rights and Responsibilities Statement	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Update to AIM Radiation Oncology Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Updates to AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Empire engages with Alliant Health Solutions	August 2018 Empire Provider Newsletter	Behavioral Health	Aug 1, 2018
New Eating Disorder Service Available to Empire Members	August 2018 Empire Provider Newsletter	Behavioral Health	Aug 1, 2018
Empire expands specialty pharmacy prior authorization list	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire expands specialty pharmacy clinical site of care (level of care) drug list	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire removes drugs from specialty pharmacy clinical site of care	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire to update drug lists supporting commercial health plans	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire accepts prior authorization requests for prescription medications online	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire applies daily morphine equivalent dosing limit	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Pharmacy information available on empireblue.com	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Attention: Updated or New Fee Schedules for Commercial products	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
New precertification requirement for EGD services begins November 1, 2018	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Empire to enhance automated claim edits for professional claims	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Member Explanation of Benefits gets a makeover	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Important billing update for professional delivery claims	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Online Authorizations through the Availity Portal on Interactive Care Reviewer	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Empire transitioning to Availity EDI Gateway	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Webinar: Introduction to Availity EDI Gateway services for Empire provider organizations	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
New pregnancy notification process using the Availity Web Portal Benefit Look-up Tool	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Important information about billing colonoscopy and related anesthesia services	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
MyDiversePatients.com: A website to support your diverse patients	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Additional Support Available for Members with Rare Conditions	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Provider Transparency Update	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Empire launches additional changes to empireblue.com in September	September 2018 Empire Network eUpdate	Administrative	Aug 31, 2018

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