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Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

October 2019 Empire Provider News Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program

October 2019 Empire Provider News Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Empire Provider News Federal Employee Plan (FEP) Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Empire Provider News Medicare Oct 1, 2019

Attention: updated physician lab fee schedules for Medicare Advantage products

October 2019 Empire Provider News Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

October 2019 Empire Provider News Medicare Oct 1, 2019

Update: 2019 risk adjustment provider training

October 2019 Empire Provider News Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Empire Provider News Medicare Oct 1, 2019

Lowering health risks with no-cost statins

October 2019 Empire Provider News Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Empire Provider News Medicare Oct 1, 2019

Keep up with Medicare news

October 2019 Empire Provider News Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - March 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Empire Provider News Medicaid Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Keep up with Medicaid news

October 2019 Empire Provider News Medicaid Oct 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicaid Sep 1, 2019

Prior authorization changes

September 2019 Empire Provider News Medicaid Sep 1, 2019

Evaluation and management services - over-coded services

September 2019 Empire Provider News Medicaid Sep 1, 2019

Clinical Criteria updates

September 2019 Empire Provider News Medicaid Sep 1, 2019

MCG Care Guidelines update and customizations

September 2019 Empire Provider News Medicaid Sep 1, 2019

Ensuring quality of care when prescribing antipsychotic medications to children and adolescents

September 2019 Empire Provider News Medicaid Sep 1, 2019

Provider satisfaction survey

September 2019 Empire Provider News Medicaid Sep 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicare Sep 1, 2019

Changes to PA requirements

September 2019 Empire Provider News Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Empire Provider News Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Empire Provider News Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Empire Provider News Medicare Sep 1, 2019

Medicare Advantage: New service types added to Availity

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage: New Reimbursement Policy: Drug Screen Testing (Policy 19-001, effective 10/01/19)

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage: Special needs plans - provider training required

August 2019 Empire Provider News Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Empire Provider News Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Empire Provider News Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Empire Provider News Medicaid Aug 1, 2019

Use the Provider Maintenance Form to update your information

August 2019 Empire Provider News Medicaid Aug 1, 2019

Prepayment clinical validation review process

August 2019 Empire Provider News Medicaid Aug 1, 2019

Keep up with Medicaid news

August 2019 Empire Provider News Medicaid Aug 1, 2019

Medicare Advantage: AIM Specialty Health programs may require documentation

August 2019 Empire Provider News Medicare Aug 1, 2019

Empire Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Empire Provider News Federal Employee Plan (FEP) Jul 1, 2019

Medicare Advantage: Electronic claim payment reconsideration

July 2019 Empire Provider News Medicare Jul 1, 2019

Medicare Advantage: Sepsis diagnosis coding and billing reminder

July 2019 Empire Provider News Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Empire Provider News Medicare Jul 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

July 2019 Empire Provider News Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Empire Provider News Medicare Jul 1, 2019

New service types added to Availity

July 2019 Empire Provider News Medicaid Jul 1, 2019

Trauma-informed care

July 2019 Empire Provider News Medicaid Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Empire Provider News Medicaid Jul 1, 2019

Unspecified diagnosis code update

July 2019 Empire Provider News Medicaid Jul 1, 2019

Coding Spotlight: Hypertension, A providers’ guide for coding

July 2019 Empire Provider News Medicaid Jul 1, 2019

Health Homes - a valuable provider of community-based care coordination

July 2019 Empire Provider News Medicaid Jul 1, 2019

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

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

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

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

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

Coding Spotlight: Cancer A provider’s guide to properly code cancers

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Access patient-specific drug benefit information through electronic medical records

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Neonatal intensive care unit post-traumatic stress disorder program

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

HEDIS 2019 Federal Employee Program medical record request requirements

February 2019 Empire Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Reminder - Empire follows Original Medicare policies

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Empire eye refraction and routine eye exam billing information

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

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

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019
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