New York
Provider Communications

Articles

Title Publication Category Date

2019 FEP Benefit information available online

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Access patient-specific drug benefit information through electronic medical records

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Access patient-specific drug benefit information through EMR

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Additional Support Available for Members with Rare Conditions

August 2018 Empire Provider Newsletter Administrative Aug 1, 2018

Anthem Announces Early Launch of IngenioRx

N/A N/A Jan 30, 2019

Anthem, Inc., Empire's parent company, has tapped Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Empire Network eUpdate Administrative Nov 1, 2018

Archived medical policy

August 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Attention: Updated or New Fee Schedules for Commercial products

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Attention: Updated or New Fee Schedules for Commercial products

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Attention: Updated or New Fee Schedules for Commercial products

August 2018 Empire Provider Newsletter Administrative Aug 1, 2018

Attention: Updated or New Fee Schedules for Commercial products - REVISED DATE

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Availity as Empire’s EDI Gateway

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Availity EDI Gateway Webinars Scheduled

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Availity is now our designated EDI Gateway

June 2018 Empire Provider Newsletter Administrative May 30, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Behavioral health Discharge Action Plan: improving care transitions

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Behavioral health network provider training

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Body Mass Index (BMI) - Facility

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Bundled Services and Supplies - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Case Management Program

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Clinical Criteria updates

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Clinical Guideline Updates

August 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Clinical Guideline Updates

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical Guideline Updates

June 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines May 30, 2018

Clinical Guideline Updates

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical Guideline Updates

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical practice and preventive health guidelines available online

February 2019 Empire Provider Newsletter Administrative Feb 1, 2019

Clinical practice and preventive health guidelines available online

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available online

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Clinical practice and preventive health guidelines available online

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available online

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

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

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Coding Spotlight - Obesity

August 2018 Empire Provider Newsletter Medicaid Aug 1, 2018

Coding Spotlight: Cancer A provider’s guide to properly code cancers

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Coding Spotlight: Pregnancy, A provider’s guide to diagnose and code for pregnancy

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Coding spotlight: substance use disorders and smoking

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Cologuard covered for Medicare Advantage

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Company works to simplify payment recovery process for National Accounts membership

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Complex Case Management program

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

ConditionCare Program Benefits Patients and Physicians

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Connecticut Teachers’ Retirement Board Offers Medicare Advantage Option

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Coordination of Benefits for an FEP member

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Care

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

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

Diabetes Coding

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

DME providers and physicians: important wheelchair prior authorization information

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Dual Eligible Special Needs Plans - provider training required

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

EDI Gateway migration

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Electrical stimulation device to require prior authorization

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Electronic data interchange gateway update

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Electronic Data Interchange migration to Availity

August 2018 Empire Provider Newsletter Medicaid Aug 1, 2018

Electronic Member ID Cards: Online option available on Availity

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Empire accepts electronic prior authorization requests for prescription medications online

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Empire accepts prior authorization requests for prescription medications online

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire accepts prior authorization requests for prescription medications online

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire Adopts MCG Care Guidelines for Behavioral Health Services

June 2018 Empire Provider Newsletter Behavioral Health May 30, 2018

Empire announces a new network - Blue Access

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Empire announces changes to the Individual Health Benefit Plans

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Empire applies daily morphine equivalent dosing limit

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Empire Provider Newsletter Products & Programs Mar 1, 2019

Empire CRA Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

Empire engages with Alliant Health Solutions

August 2018 Empire Provider Newsletter Behavioral Health Aug 1, 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 clinical site of care (level of care) drug list

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire Expands specialty pharmacy clinically equivalent drug list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire expands specialty pharmacy medical step therapy drug list

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Empire expands specialty pharmacy prior authorization list

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Empire expands specialty pharmacy prior authorization list

June 2018 Empire Provider Newsletter Pharmacy May 30, 2018

Empire expands specialty pharmacy prior authorization list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire expands specialty pharmacy prior authorization list

April 2019 Empire Provider Newsletter Pharmacy Apr 1, 2019

Empire expands specialty pharmacy prior authorization list

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire eye refraction and routine eye exam billing information

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Empire Fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Empire fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Empire HealthPlus adopts MCG Care Guidelines for clinical reviews of mental health services

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Empire launches additional changes to empireblue.com in March

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Empire launches additional changes to empireblue.com in October

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Empire launches additional changes to empireblue.com in September

September 2018 Empire Network eUpdate Administrative Aug 31, 2018

Empire offers risk adjustment and documentation training

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Empire removes drugs from specialty pharmacy clinical site of care

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire streamlines member identification cards

June 2018 Empire Provider Newsletter Administrative May 30, 2018

Empire to conduct post-payment reviews of distinct procedural services modifiers

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Empire to enhance automated claim edits for professional claims

August 2018 Empire Provider Newsletter Administrative Aug 1, 2018

Empire to enhance claim edits for outpatient facility claims

February 2019 Empire Provider Newsletter Administrative Feb 1, 2019

Empire to update drug lists supporting commercial health plans

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire transitioning to Availity EDI Gateway

August 2018 Empire Provider Newsletter Administrative Aug 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
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