New York
Provider Communications

Articles

Title Publication Category Date

Reimbursement Policy Update: Multiple Radiology Payment Reduction (Policy 12-002)

July 2019 Empire Provider News Medicaid Jul 1, 2019

Pharmacy benefit manager change

July 2019 Empire Provider News Medicaid Jul 1, 2019

New York City Department of Health advisory: HIV outbreak risk factors are present in New York City

July 2019 Empire Provider News Medicaid Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Empire Provider News Medicaid Jul 1, 2019

Anthem, Inc. to acquire Beacon Health Options

N/A Administrative Jun 6, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Empire Provider Newsletter Products & Programs Jun 1, 2019

AIM programs may require additional prior authorization documentation

June 2019 Empire Provider Newsletter Products & Programs Jun 1, 2019

Empire Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

June 2019 Empire Provider Newsletter Pharmacy Jun 1, 2019

Empire expands specialty pharmacy prior authorization list

June 2019 Empire Provider Newsletter Pharmacy Jun 1, 2019

Pharmacy information available on empireblue.com

June 2019 Empire Provider Newsletter Pharmacy Jun 1, 2019

Updated Provider Manual now available

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Empire launches additional changes to empireblue.com for Q2

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Find A Doctor: New Sort Option

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Coming Soon: Empire Electronic Attachments

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Change coming to Claim Status Inquiry and Secure Messaging on the Availity Portal

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Empire CRA Reporting Update: Retrospective Program begins

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Update: Sepsis Coding

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Lab services reminder for Employee Health Plan of Suffolk County

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available online

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Clinical Guideline (CG-ANC-07) effective July 1, 2019

June 2019 Empire Provider Newsletter Policy Updates Jun 1, 2019

Frequency Editing - Professional

June 2019 Empire Provider Newsletter Reimbursement Policies Jun 1, 2019

Ambulance Transportation - Professional

June 2019 Empire Provider Newsletter Reimbursement Policies Jun 1, 2019

Remittance Inquiry tool now available

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Prior authorization requirement update

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Remittance Inquiry tool now available

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Intervention for blood sugar control in pregnant women with diabetes

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Complex Case Management program

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Members’ Rights and Responsibilities Statement

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Empire expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema

May 2019 Empire Provider Newsletter Pharmacy May 1, 2019

Empire specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Empire Provider Newsletter Pharmacy May 1, 2019

Pharmacy information available on empireblue.com

May 2019 Empire Provider Newsletter Pharmacy May 1, 2019

Electronic Member ID Cards: Easy online access on the Availity Portal

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Review of professional claims with emergency room level 5 E/M codes

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Be sure to verify your demographic information

May 2019 Empire Provider Newsletter Administrative May 1, 2019

MCG care guidelines 23rd Edition

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Empire CRA Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Empire Provider Newsletter Administrative May 1, 2019

ATTENTION! Availity launches additional changes to the new look to our Medical Attachment submission tool

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Clinical practice and preventive health guidelines available online

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Empire Contracted Ambulance Providers

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Medical Policy and Clinical Guideline Updates

May 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Coding Updates

May 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Reimbursement Policy Update - Drug Screen Testing (Professional)

May 2019 Empire Provider Newsletter Reimbursement Policies May 1, 2019

Partial hospitalization services

May 2019 Empire Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

May 2019 Empire Provider Newsletter Medicare May 1, 2019

Clinical Criteria updates

May 2019 Empire Provider Newsletter Medicaid May 1, 2019

Reminder of New Referral Process

April 2019 Empire Provider Newsletter Products & Programs Apr 1, 2019

New AIM Rehabilitative program effective July 1, 2019

April 2019 Empire Provider Newsletter Products & Programs Apr 1, 2019

Empire expands specialty pharmacy prior authorization list

April 2019 Empire Provider Newsletter Pharmacy Apr 1, 2019

Pharmacy information available on empireblue.com

April 2019 Empire Provider Newsletter Pharmacy Apr 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

New on Interactive Care Reviewer: Request Clinical Appeals

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

Clinical practice and preventive health guidelines available online

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

Medical Policy and Clinical Guideline Updates

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guidelines

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

April 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Apr 1, 2019

New Reimbursement Policy - Partial Hospitalization Program and Intensive Outpatient Program Services Facility

April 2019 Empire Provider Newsletter Reimbursement Policies Apr 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

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

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Online registration processes for electronic funds transfers and electronic remittance advices

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Clinical Criteria updates

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Help prevent preeclampsia with prenatal aspirin

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Medical necessity review for appropriate level of care

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Online registration processes for electronic funds transfers and electronic remittance advices

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Provider surveys

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

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

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Important update to Empire’s commercial drug lists

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Important reminder regarding Specialty Pharmacy clinical site of care program

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Member Satisfaction with Behavioral Health Outpatient Services

March 2019 Empire Provider Newsletter Behavioral Health Mar 1, 2019

Revised New York State Department of Health Clauses for Managed Care Provider/IPA/ACO Contracts and Amendment

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Attention: Updated or New Fee Schedules for Commercial products

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Site of Service Update

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Empire launches additional changes to empireblue.com in March

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Latest Updates to EDI Gateway Migration

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Explore the updates to the Medical Attachment Tool

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Provider Transparency Update

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

HEDIS 2019: Controlling High Blood Pressure

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available online

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Un-adopted clinical guidelines effective January 1, 2019

March 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Dual Eligible Special Needs Plans - provider training required

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

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

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Update: evaluation and management with Modifier 25

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Reimbursement Policy Update

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019
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