New York
Provider Communications

Articles

Title Publication Category Date

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

Electronic data interchange gateway update

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

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

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Sublocade

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

UPDATE: Prior authorization requirements for high-level, definitive drug testing delayed

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Viral suppression rates improve in patients with HIV in the US,while disparities continue to exist

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Reimbursement Policy Update: Claims Requiring Additional Documentation (Policy 06-031, effective 03/01/19)

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Transition of Outpatient Rehabilitation Utilization Management Program effective January 1, 2019

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Coding spotlight: substance use disorders and smoking

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Pharmacy management information

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Clinical Guideline Updates

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

Empire accepts electronic prior authorization requests for prescription medications online

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on empireblue.com

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 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

Prepare NOW for Empire Facility and Physician Portal Retirement

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Explore new enhancements to the Education and Reference Center

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Company works to simplify payment recovery process for National Accounts membership

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

ConditionCare Program Benefits Patients and Physicians

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits patients and physicians

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Coordination of Care

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Important Information about Utilization Management

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available online

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Policy updates

December 2018 Empire Provider Newsletter Policy Updates Dec 1, 2018

Medical Policy Updates

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

Review medical policy and clinical guidelines when referring services to a facility

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

Update to AIM Clinical Appropriateness Guidelines

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

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

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

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Reimbursement Policy Updates

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Bundled Services and Supplies - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Coordination of Benefits for an FEP member

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

Benefit change for Infliximab for Federal Employee Program

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

2019 FEP Benefit information available online

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) 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

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

Update to Durable Medical Equipment – effective October 14, 2018

October 2018 Empire Provider Newsletter Administrative Oct 12, 2018

Empire expands specialty pharmacy prior authorization list

October 2018 Empire Provider Newsletter Pharmacy Oct 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 accepts prior authorization requests for prescription medications online

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Access patient-specific drug benefit information through EMR

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Pharmacy information available on empireblue.com

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

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

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Empire launches additional changes to empireblue.com in October

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Electronic Member ID Cards: Online option available on Availity

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

What Matters Most: Improving the Patient Experience

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Special Investigations Unit Updates

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

HEDIS® 2018: Provider Incentive Winners Announced!

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Integrated Medical and Behavioral Healthcare Services

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

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

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Tips for billing CPT modifier 33

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Policy Updates

October 2018 Empire Provider Newsletter Policy Updates Oct 1, 2018

Medical Policy Updates

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

Clinical Guideline Updates

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

Review medical policy and clinical guidelines when referring services to a facility

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

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

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

Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heart

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

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

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

Reimbursement Policy Updates

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 1, 2018

New Reimbursement Policy - Facility Revenue Code Billing (Facility)

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 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

EDI Gateway migration

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

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

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Vaginal birth after cesarean shared decision-making aid available

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Prior authorization requirements for high-level, definitive drug testing

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Prior authorization requirements for Interferon beta-1a

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Prior authorization requirements for Somatrem

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update: effective 1/25/18

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update: effective 3/22/18

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update: effective 11/1/18

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Empire launches additional changes to empireblue.com in September

September 2018 Empire Network eUpdate Administrative Aug 31, 2018

Now Available: Get patient payments faster with Healthcare Bill Payments at empireblue.com

September 2018 Empire Network eUpdate Administrative Aug 31, 2018

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Empire Network eUpdate Administrative Aug 31, 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
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