New York
Provider Communications

Articles Category: Policy Updates

Title	Publication	Category	Date
Notification Regarding Reimbursement Changes to COVID-19 Vaccine Administration Material Adverse Change (MAC)	April 2023 Provider News - New York	Reimbursement Policies	Mar 31, 2023
Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional	April 2023 Provider News - New York	Reimbursement Policies	Mar 31, 2023
Bundled Services and Supplies - Professional Material Adverse Change (MAC)	April 2023 Provider News - New York	Reimbursement Policies	Mar 31, 2023
Reimbursement policy update: Modifiers 25 and 57 - Professional	March 2023 Empire Provider News	Reimbursement Policies	Mar 1, 2023
Medical Policy and Clinical Guideline updates Material Adverse Change (MAC)	February 2023 Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2023
Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List	February 2023 Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2023
Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Monkeypox and smallpox vaccines: Product code on claims	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines Material Adverse Change (MAC)	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines* Material adverse change Material Adverse Change (MAC)	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Medical Policy and Clinical Guidelines updates Material Adverse Change (MAC)	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Notification regarding reimbursement changes to COVID-19 laboratory services codes Material Adverse Change (MAC)	January 2023 Newsletter	Reimbursement Policies	Dec 30, 2022
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update Material Adverse Change (MAC)	December 2022 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2022
AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update Material Adverse Change (MAC)	December 2022 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2022
Reimbursement policy update: Bundled Services and Supplies - Professional Material Adverse Change (MAC)	December 2022 Newsletter	Reimbursement Policies	Dec 1, 2022
Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility Material Adverse Change (MAC)	December 2022 Newsletter	Reimbursement Policies	Dec 1, 2022
Medical Policy and Clinical Guideline updates Material Adverse Change (MAC)	November 2022 Newsletter	Medical Policy & Clinical Guidelines	Nov 1, 2022
Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline	November 2022 Newsletter	Medical Policy & Clinical Guidelines	Nov 1, 2022
Correction to reimbursement policy: Place of Service (Facility) Material Adverse Change (MAC)	November 2022 Newsletter	Reimbursement Policies	Nov 1, 2022
Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility Material Adverse Change (MAC)	October 2022 Newsletter	Reimbursement Policies	Oct 1, 2022
Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional Material Adverse Change (MAC)	October 2022 Newsletter	Reimbursement Policies	Oct 1, 2022
Reimbursement policy update - Modifier Rules (Professional) Material Adverse Change (MAC)	September 2022 Newsletter	Reimbursement Policies	Sep 1, 2022
Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional)	September 2022 Newsletter	Reimbursement Policies	Sep 1, 2022
Reimbursement policy update - Modifier 66: Surgical Teams (Professional)	September 2022 Newsletter	Reimbursement Policies	Sep 1, 2022
Medical Policy and Clinical Guideline updates *Material Adverse Change (MAC)*	August 2022 Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2022
Reimbursement policy update: Laboratory and Venipuncture Services - Professional & Facility *Material Adverse Change (MAC)*	July 2022 Newsletter	Reimbursement Policies	Jul 1, 2022
Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU - professional *Material Adverse Change (MAC)*	July 2022 Newsletter	Reimbursement Policies	Jul 1, 2022
New reimbursement policy: Transitional Care Management - professional	July 2022 Newsletter	Reimbursement Policies	Jul 1, 2022
Retraction for reimbursement policy — Sexually Transmitted Infections - professional	July 2022 Newsletter	Reimbursement Policies	Jul 1, 2022
New reimbursement policy: Place of Service - facility *Material Adverse Change (MAC)*	July 2022 Newsletter	Reimbursement Policies	Jul 1, 2022
New reimbursement policy: Modifier FB – Professional and Facility *Material Adverse Change (MAC)*	July 2022 Newsletter	Reimbursement Policies	Jul 1, 2022
Reimbursement policy update: Modifier Rules – Professional *Material Adverse Change (MAC)*	July 2022 Newsletter	Reimbursement Policies	Jul 1, 2022
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines *Material Adverse Change (MAC)*	June 2022 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2022
Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines *Material Adverse Change (MAC)*	June 2022 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2022
Updates to AIM Specialty Health sleep disorder management clinical appropriateness *Material Adverse Change (MAC)*	June 2022 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2022
Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility) *Material Adverse Change (MAC)*	June 2022 Newsletter	Reimbursement Policies	Jun 1, 2022
Medical policy and clinical guideline updates *Material Adverse Change (MAC)*	May 2022 Newsletter	Medical Policy & Clinical Guidelines	May 1, 2022
AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates *Material Adverse Change (MAC)*	March 2022 Newsletter	Medical Policy & Clinical Guidelines	Mar 1, 2022
Clarification to reimbursement policy update: Virtual Visits - Professional and Facility	February 2022 Newsletter	Reimbursement Policies	Feb 1, 2022
Medical policy and clinical guideline updates Material Adverse Change (MAC)	January 2022 Newsletter	Medical Policy & Clinical Guidelines	Jan 1, 2022
Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management clinical appropriateness guideline Material Adverse Change (MAC)	December 2021 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2021
Updates to AIM Specialty Health Cardiology clinical appropriateness guidelines Material Adverse Change (MAC)	December 2021 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2021
Updates to AIM Specialty Health Radiation Oncology clinical appropriateness guideline Material Adverse Change (MAC)	December 2021 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2021
Updates to AIM Advanced Imaging clinical appropriateness guideline Material Adverse Change (MAC)	December 2021 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2021
Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - professional Material Adverse Change (MAC)	December 2021 Newsletter	Reimbursement Policies	Dec 1, 2021
New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - professional Material Adverse Change (MAC)	December 2021 Newsletter	Reimbursement Policies	Dec 1, 2021
Reimbursement policy update: Virtual Visits - professional and facility	December 2021 Newsletter	Reimbursement Policies	Dec 1, 2021
Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)	November 2021 Newsletter	Reimbursement Policies	Nov 1, 2021
Medical policy and clinical guideline updates Material adverse change (MAC) notification	October 2021 Newsletter	Medical Policy & Clinical Guidelines	Oct 1, 2021
Reimbursement policy update: Sexually Transmitted Infections Testing (Professional) Material adverse change (MAC) notification	September 2021 Newsletter	Reimbursement Policies	Sep 1, 2021
Reimbursement policy update: Drug Screen Testing (Professional) Material adverse change (MAC) notification	September 2021 Newsletter	Reimbursement Policies	Sep 1, 2021
Reimbursement policy reminder Professional Anesthesia Services (Professional)	September 2021 Newsletter	Reimbursement Policies	Sep 1, 2021
Transition to AIM Specialty Health Imaging of the Heart clinical appropriateness guideline for Computed Tomography to detect coronary artery calcification	August 2021 Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2021
Medical policy and clinical guideline updates Material adverse change (MAC) notification	August 2021 Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2021
Inpatient Readmission (Facility)	August 2021 Newsletter	Reimbursement Policies	Aug 1, 2021
Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU Material adverse change (MAC) notification	August 2021 Newsletter	Reimbursement Policies	Aug 1, 2021
Virtual Visits - Professional and Facility Material adverse change (MAC) notification	August 2021 Newsletter	Reimbursement Policies	Aug 1, 2021
Medical policy updates and clinical guideline updates Material adverse change (MAC) notification	July 2021 Newsletter	Medical Policy & Clinical Guidelines	Jul 1, 2021
New reimbursement policy: Non-patient Laboratory Services (Facility) Material adverse change (MAC) notification	July 2021 Newsletter	Reimbursement Policies	Jul 1, 2021
Reimbursement policy update: Consultations (Professional) Material adverse change (MAC) notification	July 2021 Newsletter	Reimbursement Policies	Jul 1, 2021
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines Material adverse change (MAC) notification	June 2021 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2021
Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines Material adverse change (MAC) notification	June 2021 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2021
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	June 2021 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2021
Empire to enhance claim edits for Outpatient Facility Claims	June 2021 Newsletter	Reimbursement Policies	Jun 1, 2021
Clinical guideline updates Material adverse change (MAC) notification	May 2021 Newsletter	Medical Policy & Clinical Guidelines	May 1, 2021
Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines	May 2021 Newsletter	Medical Policy & Clinical Guidelines	May 1, 2021
Reimbursement policy update: Frequency editing (Professional)	May 2021 Newsletter	Reimbursement Policies	May 1, 2021
Update for commercial providers regarding the AIM Sleep Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous	April 2021 Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2021
MCG Care Guidelines 25th Edition	April 2021 Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2021
Medical policy updates Material adverse change (MAC) notification	April 2021 Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2021
Claims editing update for ICD-10-CM Excludes 1 notes	April 2021 Newsletter	Reimbursement Policies	Apr 1, 2021
Update: Notice of changes to the AIM Small Joint Surgery Guideline	March 2021 Empire Provider News	Medical Policy & Clinical Guidelines	Mar 1, 2021
Emergency Room Transfers (Facility) Material Adverse Change (MAC) Notification	February 2021 Empire Provider News	Reimbursement Policies	Feb 1, 2021
Treatment Rooms with Office Evaluation and Management Services (Facility) Material Adverse Change (MAC) Notification	February 2021 Empire Provider News	Reimbursement Policies	Feb 1, 2021
MCG Care Guidelines 24th edition customization Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Medical Policy & Clinical Guidelines	Jan 1, 2021
Medical Policy updates Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Medical Policy & Clinical Guidelines	Jan 1, 2021
Multiple Diagnostic Imaging procedures (Professional) Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Reimbursement Policies	Jan 1, 2021
Frequency Editing (Professional) Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Reimbursement Policies	Jan 1, 2021
Guidelines for reporting timed units for Physical Medicine and Rehabilitation (Professional) Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Reimbursement Policies	Jan 1, 2021
Modifier Rules (Professional) Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Reimbursement Policies	Jan 1, 2021
Unit Frequency Maximum for Drugs and Biologicals (Professional) Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Reimbursement Policies	Jan 1, 2021
Evaluation and Management changes 2021	January 2021 Empire Provider News	Reimbursement Policies	Jan 1, 2021
Updates to AIM Cardiology Clinical Appropriateness Guidelines Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guideline Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Updates to AIM Radiation Oncology Clinical Appropriateness Guideline Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Bundled Services and Supplies (Professional)	December 2020 Empire Provider News	Reimbursement Policies	Dec 1, 2020
Empire expands hospice policy	December 2020 Empire Provider News	Reimbursement Policies	Dec 1, 2020
Clinical Guideline Updates Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2020
Reminder: Post-service reviews using AIM	November 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2020
Documentation Standards for Episodes of Care (Professional) Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Reimbursement Policies	Nov 1, 2020
Modifier Rules (Professional) Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Reimbursement Policies	Nov 1, 2020
Bundled Services and Supplies (Professional) Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Reimbursement Policies	Nov 1, 2020
Medical Policy & Clinical Guideline updates Material Adverse Changes	October 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Oct 1, 2020
Clinical Criteria updates for specialty pharmacy are available Material Adverse Change	October 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Oct 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines	October 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Oct 1, 2020
Reimbursement Policy Update: Emergency Department: Leveling of Evaluation and Management Services (Facility) Material Adverse Change	October 2020 Empire Provider News	Reimbursement Policies	Oct 1, 2020
Reimbursement Policy Update: Laboratory and Venipuncture (Professional) Material Adverse Change	October 2020 Empire Provider News	Reimbursement Policies	Oct 1, 2020

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