New York
Provider Communications
Updated Provider Manual now available
Empire reviews and updates our online Provider Manuals annually. The updated manual is now available online at empireblue.com/provider > Click “Find Resources in New York” > Provider Home > Communications > Empire’s Provider Manual. The following changes are effective July 1, 2018:
New Content for 2018
- Pharmacy Home
- Availity Portal
- AIM Specialty Health
- Claims Filing Tips
- Online Provider Directories and Demographic Data Integrity
Updated for 2018:
- Misrouted PHI
- Risk Adjustments
- Overview of CAHPS
- EDI
- Overpayment-Cost Containment
- Medicare Crossover
- Implants
- Medical Care Provided to or by a Family Member
- Test or Procedures Prior to Admission(s) or Outpatient Services
- Preventable Adverse Events (PAE)
- Credentialing
- Utilization Management
- Member Rights and Responsibilities
- Quality Improvement
- Cultural Diversity
- Continuity and Coordination of Care
- Continuity of Care/Transition of Care Program
- Quality of Care Investigations
- Clinical Practice Guidelines
- Preventive Health Guidelines
- Performance Data
- Medical Policy (excluding CA)
- Centers of Medical Excellence
- Member Health & Wellness
- Blue Card Overview
- FEHBP
- HIX
- Audit -excluding CA
- Fraud Waste and Abuse Detection
Featured In:
June 2018 Empire Provider Newsletter