New York
Provider Communications

Articles

Title Publication Category Date

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

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

Making a change for the better - FEP system migration information.

July 2018 Empire Network eUpdate Federal Employee Plan (FEP) Jul 2, 2018

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
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