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Articles Category: Policy Updates

Title	Publication	Category	Date
Policy Updates	June 2018 Empire Provider Newsletter	Policy Updates	May 30, 2018
Medical Policy Updates	June 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 30, 2018
Clinical Guideline Updates	June 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 30, 2018
Professional Reimbursement Policy Update	June 2018 Empire Provider Newsletter	Reimbursement Policies	May 30, 2018
Reimbursement Policy Reminder - Durable Medical Equipment (Professional)	June 2018 Empire Provider Newsletter	Reimbursement Policies	May 30, 2018
Policy Updates	August 2018 Empire Provider Newsletter	Policy Updates	Aug 1, 2018
Medical Policy Updates	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Clinical Guideline Updates	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Review medical policy and clinical guidelines when referring services to a facility	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Update to Venipuncture Services Medical Policy effective March 1, 2018	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Archived medical policy	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Reimbursement Policy Updates	August 2018 Empire Provider Newsletter	Reimbursement Policies	Aug 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
Clinical Guideline Updates	December 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	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
Policy updates	January 2019 Empire Provider Newsletter	Policy Updates	Jan 1, 2019
Medical Policy Updates	January 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Jan 1, 2019
Clinical Guideline Updates	January 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Jan 1, 2019
Update on clinical guidelines communicated in October 2018 provider newsletter	January 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Jan 1, 2019
New and adopted clinical guidelines effective May 1, 2019	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Un-adopted clinical guidelines effective February 1, 2019	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Injectable Substances with Related Injection Services - (Professional)	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
Body Mass Index (BMI) - Facility	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
Reminder Review ICD-10-CM Coding Guidelines - Professional	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
Un-adopted clinical guidelines effective January 1, 2019	March 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Mar 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
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
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
Un-adopted clinical guidelines effective June 1, 2019	July 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Jul 1, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	July 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Jul 1, 2019
Reimbursement Policy updates	July 2019 Empire Provider News	Reimbursement Policies	Jul 1, 2019
Policy updates	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Reimbursement Policy Updates	August 2019 Empire Provider News	Reimbursement Policies	Aug 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 (Professional)	August 2019 Empire Provider News	Reimbursement Policies	Aug 1, 2019
Policy updates	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
Coding Updates	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
New Reimbursement Policy - Maternity Services and Multiple Delivery - Professional	September 2019 Empire Provider News	Reimbursement Policies	Sep 1, 2019
New Reimbursement Policy - Intensity Modulated Radiation Therapy Planning and Delivery - Professional	September 2019 Empire Provider News	Reimbursement Policies	Sep 1, 2019
Claim editing update for Excludes1 notes	September 2019 Empire Provider News	Reimbursement Policies	Sep 1, 2019
Reimbursement Policy update	October 2019 Empire Provider News	Reimbursement Policies	Oct 1, 2019
Medical Policy & Clinical Guideline updates	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Spine Surgery Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
New Reimbursement Policy Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers (Professional)	December 2019 Empire Provider News	Reimbursement Policies	Dec 1, 2019
System updates for 2020 - Professional	December 2019 Empire Provider News	Reimbursement Policies	Dec 1, 2019
Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair	January 2020 Empire Provider News	Policy Updates	Jan 1, 2020
Reimbursement Policy update - Outpatient Facility Edit Implementation	January 2020 Empire Provider News	Reimbursement Policies	Jan 1, 2020
Medical Policy and Clinical Guideline updates	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Clinical Laboratory Improvements Amendments for Empire	February 2020 Empire Provider News	Reimbursement Policies	Feb 1, 2020
Clinical Guideline Update - June 2020	March 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Mar 1, 2020
Policy Updates	April 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Apr 1, 2020
Medical Policy and Clinical Guideline updates	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Clinical Criteria updates for specialty pharmacy are available	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Reminder about System Updates	May 2020 Empire Provider News	Reimbursement Policies	May 1, 2020
Outpatient Surgical Grouper	May 2020 Empire Provider News	Reimbursement Policies	May 1, 2020
Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Medical Policy Updates	June 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jun 1, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines	June 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jun 1, 2020
New Reimbursement Policy: Nurse Practitioner and Physician Assistant Services - Professional	June 2020 Empire Provider News	Reimbursement Policies	Jun 1, 2020
Medical Policy and Clinical Guideline updates	July 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jul 1, 2020
Clinical Criteria updates for specialty pharmacy are available	July 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jul 1, 2020

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