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Provider Communications

Articles

Title Publication Category Date

It is almost CAHPS survey time

January 2021 Empire Provider News Administrative Jan 1, 2021

MCG Care Guidelines 24th edition customization

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

Medical Policy updates

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

Multiple Diagnostic Imaging procedures (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Frequency Editing (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Guidelines for reporting timed units for Physical Medicine and Rehabilitation (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Modifier Rules (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Unit Frequency Maximum for Drugs and Biologicals (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Evaluation and Management changes 2021

January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

2021 FEP® Benefit information available online

January 2021 Empire Provider News Federal Employee Plan (FEP) Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicaid Jan 1, 2021

FDA approvals and expedited pathways used — new molecular entities (NMEs)

January 2021 Empire Provider News Medicaid Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Empire Provider News Medicaid Jan 1, 2021

Coding spotlight: HEDIS MY 2021

January 2021 Empire Provider News Medicaid Jan 1, 2021

Disease Management/Population Health program

January 2021 Empire Provider News Medicaid Jan 1, 2021

Keep up with Medicaid news

January 2021 Empire Provider News Medicaid Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicare Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Empire Provider News Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Empire Provider News Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Empire Provider News Medicare Jan 1, 2021

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Empire Provider News Products & Programs Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Empire Provider News Behavioral Health Dec 1, 2020

Prior authorization updates for specialty pharmacy - effective March 1, 2021

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 1, 2020

Reminder: Company requires National Drug Code for professional and facility outpatient claims effective December 11, 2020

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 1, 2020

Pharmacy information available on empireblue.com

December 2020 Empire Provider News Pharmacy Dec 1, 2020

Empire makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Empire Provider News Administrative Dec 1, 2020

Access to claim denial information is now self-service

December 2020 Empire Provider News Administrative Dec 1, 2020

New Blue HPN® plans go live January 1, 2021

December 2020 Empire Provider News Administrative Dec 1, 2020

Empire to change ID numbers for Building Service 32BJ Health Fund members

December 2020 Empire Provider News Administrative Dec 1, 2020

Anthem, Inc. and Quest Diagnostics Form Strategic Relationship

December 2020 Empire Provider News Administrative Dec 1, 2020

Prior authorization updates for commercial business effective March 1, 2021

December 2020 Empire Provider News Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Empire Provider News Administrative Dec 1, 2020

Empire contracted Air Ambulance providers

December 2020 Empire Provider News Administrative Dec 1, 2020

Videos to engage patients about preventive care available on empireblue.com

December 2020 Empire Provider News Administrative Dec 1, 2020

Clinical practice and preventive health guidelines available on empireblue.com

December 2020 Empire Provider News Administrative Dec 1, 2020

Coordination of Care

December 2020 Empire Provider News Administrative Dec 1, 2020

Members’ Rights and Responsibilities

December 2020 Empire Provider News Administrative Dec 1, 2020

Important Information about Utilization Management

December 2020 Empire Provider News Administrative Dec 1, 2020

Case Management Program

December 2020 Empire Provider News Administrative Dec 1, 2020

Updates to AIM Cardiology Clinical Appropriateness Guidelines

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology Clinical Appropriateness Guideline

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Bundled Services and Supplies (Professional)

December 2020 Empire Provider News Reimbursement Policies Dec 1, 2020

Empire expands hospice policy

December 2020 Empire Provider News Reimbursement Policies Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Empire Provider News Medicaid Dec 1, 2020

Sign up to receive email from Empire BlueCross BlueShield HealthPlus

December 2020 Empire Provider News Medicaid Dec 1, 2020

CAHPS education for providers

December 2020 Empire Provider News Medicaid Dec 1, 2020

Notifications on the Availity Portal

December 2020 Empire Provider News Medicaid Dec 1, 2020

Resources to support your pregnant and postpartum patients and their families

December 2020 Empire Provider News Medicaid Dec 1, 2020

Flu vaccination reimbursement

December 2020 Empire Provider News Medicaid Dec 1, 2020

Update to reimbursement policy usage

December 2020 Empire Provider News Medicaid Dec 1, 2020

Keep up with Medicaid news

December 2020 Empire Provider News Medicaid Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Empire Provider News Medicare Dec 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

December 2020 Empire Provider News Medicare Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Empire Provider News Medicare Dec 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

December 2020 Empire Provider News Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Empire Provider News Medicare Dec 1, 2020

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

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Products & Programs Nov 1, 2020

Prior authorization updates for specialty pharmacy are available

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Pharmacy Nov 1, 2020

IngenioRx Introduces New Pharmacy Network in 2021

November 2020 Empire Provider News Pharmacy Nov 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Pharmacy Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Empire Provider News Administrative Nov 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) Number – Additional Information

November 2020 Empire Provider News Administrative Nov 1, 2020

Availity Attachment Tools for Empire and Affiliate Payers – Live Webinars

November 2020 Empire Provider News Administrative Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Empire Provider News Administrative Nov 1, 2020

Get the full picture of your patient’s health through their smartphone

November 2020 Empire Provider News Administrative Nov 1, 2020

Clinical Guideline Updates

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2020

Reminder: Post-service reviews using AIM

November 2020 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2020

Documentation Standards for Episodes of Care (Professional)

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Reimbursement Policies Nov 1, 2020

Modifier Rules (Professional)

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Reimbursement Policies Nov 1, 2020

Bundled Services and Supplies (Professional)

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Reimbursement Policies Nov 1, 2020

Attention: Updated laboratory fee schedule

November 2020 Empire Provider News Medicaid Nov 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

November 2020 Empire Provider News Medicaid Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Empire Provider News Medicaid Nov 1, 2020

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

November 2020 Empire Provider News Medicaid Nov 1, 2020

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

November 2020 Empire Provider News Medicaid Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Empire Provider News Medicaid Nov 1, 2020

Reimbursement Policy: Nurse Practitioner and Physician Assistant Services (Professional)

November 2020 Empire Provider News Medicaid Nov 1, 2020

Coding spotlight: tips and best practices for compliance

November 2020 Empire Provider News Medicaid Nov 1, 2020

Inhaled nitric oxide reviews for diagnosis-related group admissions

November 2020 Empire Provider News Medicaid Nov 1, 2020

Provider transparency update

November 2020 Empire Provider News Medicaid Nov 1, 2020

New specialty pharmacy medical step therapy requirements (Herceptin)

November 2020 Empire Provider News Medicaid Nov 1, 2020

New specialty pharmacy medical step therapy requirements (Avastin)

November 2020 Empire Provider News Medicaid Nov 1, 2020

Keep up with Medicaid news

November 2020 Empire Provider News Medicaid Nov 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

November 2020 Empire Provider News Medicare Nov 1, 2020

Provider Chat — A fast, easy way to get your questions answered

November 2020 Empire Provider News Medicare Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Empire Provider News Medicare Nov 1, 2020

AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020

November 2020 Empire Provider News Medicare Nov 1, 2020

FDA approvals and expedited pathways used — new molecular entities

November 2020 Empire Provider News Medicare Nov 1, 2020

Preferred continuous glucose monitors

November 2020 Empire Provider News Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Empire Provider News Medicare Nov 1, 2020

Nominate someone today for the Empire Whole Health Heroes Awards

Empire Whole Health Heroes Awards Administrative Oct 20, 2020

Register today for a Racial Trauma Forum hosted by Empire and Motivo on October 28, 2020

Racial Trauma Forum Invitation Behavioral Health Oct 14, 2020

Site of Care medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021

Material Adverse Change
October 2020 Empire Provider News Products & Programs Oct 1, 2020

REMINDER: Expansion of AIM Musculoskeletal Program Effective November 1, 2020

October 2020 Empire Provider News Products & Programs Oct 1, 2020

Empire updates formulary lists for commercial health plan pharmacy benefit

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Designated Specialty Pharmacies in 2021

Material Adverse Change
October 2020 Empire Provider News Pharmacy Oct 1, 2020

National Drug Code requirement on outpatient claims

Material Adverse Change
October 2020 Empire Provider News Pharmacy Oct 1, 2020
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