New York
Provider Communications

Information from Empire for Care Providers about COVID-19 (Updated January 18, 2022)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing and acute rehabilitation facilities.

City of New York Retirees will transition to NYC Medicare Advantage Plus offered through an alliance between Empire and EmblemHealth

Blue High Performance Network name changing for 2022

Well-child visits: Know the numbers

Empire is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

Facility option to receive verbal UM Notifications electronically

Submitting prior authorizations is getting easier

Empire is transitioning to the Availity Authorization app

Is prior authorization required?

Answering your questions about the new Availity Authorization app

Chlamydia screening for teens and young adults

Outpatient system updates for 2022

Professional system updates for 2022

Clinical practice and preventive health guidelines available on empireblue.com

Coordination of care

Member rights and responsibilities

Important information about utilization management

Case management program

Importance of PCP after-hours messaging

Behavioral healthcare appointment access requirements

Reminder: The 32BJ Health Fund Centers of Excellence for Bariatric and Joint Replacement Surgery program begins January 1, 2022

Reminder: EnrollSafe is available - electronic funds transfer enrollment portal for Empire providers

Utilization management tool available on Availity Payer Spaces: Authorization Rules Lookup tool

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Empire professionals about the disproportionate impact of the pandemic on communities of color.

City of New York Retirees transition to NYC Medicare Advantage Plus (Updated 12/3/21)

Blue High Performance Network name changing for 2022

Effective January 1, 2022: The 32BJ Health Fund Centers of Excellence for Bariatric and Joint Replacement surgery

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

Time to prepare for HEDIS® medical record review

CME credits available in 2021 for a variety of clinical quality webinars - register now!

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

Join Empire in talking about racism and its impact on health and earn continuing education credits

Be antibiotics aware: Protect your patient

Surprisingly easy ways to help patients quit smoking cigarettes

Change in coverage for continuous glucose monitors for some fully insured groups

EnrollSafe is available: Our new electronic funds transfer enrollment portal

Against medical advice (AMA) discharge physician tracking tool

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management

Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Familiarize yourself with Empire’s Simplified Networks

Meet Dr. Carolyn Langer, Empire’s new Chief Medical Officer

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

Clarification: Empire’s enhanced claim edits for outpatient facility claims

Your recommendation is key to encouraging cancer screenings for your female patients

Are you talking to ALL of your patients about breast cancer screenings?

Looking to earn continuing medical education credits? Register for these on-demand webinars

Clinical appeals

Provider claim payment disputes for Empire’s Commercial lines of business

Good news! Non-payment remittance advice enhancements coming soon

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers – replacing CAQH Enrollhub effective November 1, 2021

Procedure searches in Find Care

Register today for the Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children forum on September 29, 2021

Join us to hear from a diverse panel of experienced Motivo and Empire professionals about the impact of racial trauma on the health and wellbeing on children and adolescents.

Register now for our September CME webinars!

Statin therapy for patients with diabetes

6 SIMPLE strategies to help increase medication adherence

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics

National Accounts 2022 Pre-certification list

HEDIS® medical record submission made easier with our Remote EMR Access Service

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers - replacing CAQH Enrollhub effective November 1, 2021.

2021 Provider Manual now available

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Clearing up coding confusion for retinal eye exams (DRE)

Register now for our August CME webinars

Digital scheduling feature in the Availity Portal: the Appointment Scheduler application

Register for upcoming August CME webinars

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET


10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET


6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET


Register Now!

Surgical Clinical Site of Care review updates

Proper coding for in-home monitoring can make a measurable difference for INR

Another mark of the pandemic: an increase in childhood obesity

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

Register now to learn strategies to help you and your practice improve clinical quality

Commercial Repapering: Important update

How to enroll in electronic fund transfer (EFT) for faster remittance

Electronic claim response files

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Regular check-ins with your clearinghouse could affect timely filing

Keep your contact information current

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

Two great learning resources on One Secure Portal

Submit EDI corrected claims via Availity or EDI

Digital Solution Options with Availity

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10^th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17^th, 12 p.m. or 3 p.m. ET

Register now!

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Empire and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Empire professionals about racial equity and implicit bias.

A helpful and complete guide to covered well-child visits

May is national high blood pressure education month

Provider bulletins for medical and itemized bill attachments

Send larger digital attachments through Availity

Resources to support diverse patients and communities

Appointment scheduler application

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

2021 affirmative statement regarding Utilization Management decisions

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

Does your practice offer telehealth services? Let us know!

Join Empire in talking about racism and its impact on health

Reminder: Site of care medical necessity reviews for a wide range of surgical procedures began January 1, 2021

State of Connecticut employer group and Connecticut partnership plan

Updated provider agreement

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

Payer Spaces - Education and Reference Center has been replaced by Information Center

Understanding Availity Roles for Electronic Data Interchange (EDI)