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Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Empire Provider News Medicaid Jun 1, 2020

2020 affirmative statement concerning utilization management decisions

June 2020 Empire Provider News Medicaid Jun 1, 2020

Modifier use reminders

June 2020 Empire Provider News Medicaid Jun 1, 2020

Coding spotlight - provider’s guide to code social determinants of health

June 2020 Empire Provider News Medicaid Jun 1, 2020

Follow-Up After Hospitalization for Mental Illness

June 2020 Empire Provider News Medicaid Jun 1, 2020

Complex Case Management program

June 2020 Empire Provider News Medicaid Jun 1, 2020

Members’ Rights and Responsibilities Statement

June 2020 Empire Provider News Medicaid Jun 1, 2020

Important information about utilization management

June 2020 Empire Provider News Medicaid Jun 1, 2020

Keep up with Medicaid news

June 2020 Empire Provider News Medicaid Jun 1, 2020

Introducing Interactive Care Reviewer - an online prior authorization tool

June 2020 Empire Provider News Medicare Jun 1, 2020

Empire working with Optum to collect medical records for risk adjustment

June 2020 Empire Provider News Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Empire Provider News Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Empire Provider News Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Empire Provider News Medicare Jun 1, 2020

Correct Mailing Address for Federal Employee Program Paper Claims and Claims Related Correspondence

May 2020 Empire Provider News Federal Employee Plan (FEP) May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicaid May 1, 2020

Acquisition of Beacon Health Options

May 2020 Empire Provider News Medicaid May 1, 2020

Multi-dose packaging

May 2020 Empire Provider News Medicare May 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Empire Provider News Federal Employee Plan (FEP) Apr 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (November 2019)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (December 2019)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Update to corrected claims filing guidelines

April 2020 Empire Provider News Medicaid Apr 1, 2020

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Empire Provider News Medicaid Apr 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

April 2020 Empire Provider News Medicaid Apr 1, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19 and Important Medicare Advantage Updates.
COVID-19 Information State & Federal Mar 25, 2020

Antibiotic dispensing guidelines

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding spotlight: HIV and AIDS

March 2020 Empire Provider News Medicaid Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding tip for psychological and neuropsychological testing

March 2020 Empire Provider News Medicaid Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Empire Provider News Medicare Mar 1, 2020

Reimbursement Policy Update - Multiple and Bilateral Surgery: Professional and Facility

March 2020 Empire Provider News Medicare Mar 1, 2020

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

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

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

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

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

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

CMS reminder: expedited/urgent requests

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

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

Medical Policies and Clinical Utilization Management Guidelines update - March 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
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