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Provider Communications

Articles

Title	Publication	Category	Date
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
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
Update to Durable Medical Equipment – effective October 14, 2018	October 2018 Empire Provider Newsletter	Administrative	Oct 12, 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
When and how to initiate Medicare Advantage reopenings	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
Individual Medicare plans move compound drugs off formulary beginning January 1, 2019	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
Medicare Part B drugs may include Step Therapy beginning January 1, 2019	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
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

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