New York
Provider Communications

Articles Category: State & Federal

Title	Publication	Category	Date
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (Effective 05/01/20)	February 2020 Empire Provider News	Medicaid	Feb 1, 2020
Resources to support your diverse patient panel	February 2020 Empire Provider News	Medicaid	Feb 1, 2020
Non-covered codes for Medicaid Managed Care (MMC) providers	February 2020 Empire Provider News	Medicaid	Feb 1, 2020
Keep up with Medicaid news	February 2020 Empire Provider News	Medicaid	Feb 1, 2020
Postponed - Review of professional claims with emergency room level 5 E/M codes	February 2020 Empire Provider News	Medicare	Feb 1, 2020
Medicare Advantage Outpatient Rehabilitation Program transition information	February 2020 Empire Provider News	Medicare	Feb 1, 2020
Reimbursement Policy Update: Modifier 62: Co-Surgeons (Effective 05/01/2020)	February 2020 Empire Provider News	Medicare	Feb 1, 2020
Reimbursement Policy Update: Multiple and Bilateral Surgery: Professional and Facility Reimbursement (Policy 06-010, effective 05/01/20)	February 2020 Empire Provider News	Medicare	Feb 1, 2020
General Building Laborers' Local 66 Welfare Fund offers Medicare Advantage option	February 2020 Empire Provider News	Medicare	Feb 1, 2020
Keep up with Medicare news	February 2020 Empire Provider News	Medicare	Feb 1, 2020
2020 FEP Benefit information available online	January 2020 Empire Provider News	Federal Employee Plan (FEP)	Jan 1, 2020
Verifying and updating your provider information	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Improving the patient experience	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Medical drug benefit Clinical Criteria updates - August 2019	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Medical drug benefit Clinical Criteria - September 2019	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Medical Policies and Clinical Utilization Management Guidelines update	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Coding spotlight - provider’s guide to coding respiratory diseases	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Verifying and updating your provider information	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Medicare preferred continuous glucose monitors	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Help protect your patients by providing medical ID protection - best practices	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Reminder to Medicare Advantage providers	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Healthcare Quality Patient Assessment Form and Patient Assessment Form	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Medical drug benefit Clinical Criteria updates	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Electric Boat offers Medicare Advantage options	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Keep up with Medicare News	January 2020 Empire Provider News	Medicare	Jan 1, 2020
Coordination of Benefits for an FEP® member	December 2019 Empire Provider News	Federal Employee Plan (FEP)	Dec 1, 2019
Reminder to Medicare Advantage providers	December 2019 Empire Provider News	Medicare	Dec 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	December 2019 Empire Provider News	Medicare	Dec 1, 2019
City of Cincinnati Retirement System to offer Medicare Advantage option	December 2019 Empire Provider News	Medicare	Dec 1, 2019
East End Health Plan offers Medicare Advantage option	December 2019 Empire Provider News	Medicare	Dec 1, 2019
Provider training series	December 2019 Empire Provider News	Medicare	Dec 1, 2019
Keep up with Medicare News	December 2019 Empire Provider News	Medicare	Dec 1, 2019
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Keep up with Medicaid news	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Empire Provider News	Medicare	Nov 1, 2019
CMS reminder: expedited/urgent requests	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Keep up with Medicare news	November 2019 Empire Provider News	Medicare	Nov 1, 2019
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

Page 1 of 3

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc. licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.