New York
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Webinars for City of New York retirees transitioning to new Medicare Advantage plan

October 2021 Newsletter Medicare Oct 1, 2021

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

October 2021 Newsletter Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Newsletter Medicare Oct 1, 2021

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

October 2021 Newsletter Medicare Oct 1, 2021

New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)

October 2021 Newsletter Medicare Oct 1, 2021

New Medical Step Therapy Requirements

October 2021 Newsletter Medicare Oct 1, 2021

Keep up with Medicare news - October 2021

View these Medicare articles:
  • 2021 affirmative statement concerning utilization management decisions
  • May 2021 Medical Policies and Utilization Management Guidelines update
October 2021 Newsletter Medicare Oct 1, 2021

City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option

September 2021 Newsletter Medicare Sep 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers (Effective 11/30/21)

September 2021 Newsletter Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Newsletter Medicare Sep 1, 2021

Prior authorization/Precertification form notification

September 2021 Newsletter Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:

  • Clinical Criteria Updates Notification May 2021
September 2021 Newsletter Medicare Sep 1, 2021

City of New York offers Medicare Advantage option in 2022

August 2021 Newsletter Medicare Aug 1, 2021

Preventing claims denials: Shingles vaccine

August 2021 Newsletter Medicare Aug 1, 2021

Policy reminder: Inpatient Readmissions

August 2021 Newsletter Medicare Aug 1, 2021

Keep up with Medicare news

August 2021 Newsletter Medicare Aug 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

July 2021 Newsletter Medicare Jul 1, 2021

Let’s Vaccinate

July 2021 Newsletter Medicare Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (Effective 10/01/21)

July 2021 Newsletter Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Newsletter Medicare Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Newsletter Medicare Jul 1, 2021

MCG Care Guidelines 25th Edition

June 2021 Newsletter Medicare Jun 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

June 2021 Newsletter Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Newsletter Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Newsletter Medicare Jun 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Newsletter Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Newsletter Medicare May 1, 2021

Keep up with Medicare news

May 2021 Newsletter Medicare May 1, 2021

Notify us of telehealth services

April 2021 Newsletter Medicare Apr 1, 2021

In-office assessment program

April 2021 Newsletter Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Newsletter Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates – November 2020

April 2021 Newsletter Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates – December 2020

April 2021 Newsletter Medicare Apr 1, 2021

New provider directory indicator for telehealth services

March 2021 Empire Provider News Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

March 2021 Empire Provider News Medicare Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Empire Provider News Medicare Mar 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Empire Provider News Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Empire Provider News Medicare Feb 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicare Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Empire Provider News Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Empire Provider News Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Empire Provider News Medicare Jan 1, 2021

Digital transactions cut administrative tasks in half

December 2020 Empire Provider News Medicare Dec 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

December 2020 Empire Provider News Medicare Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Empire Provider News Medicare Dec 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

December 2020 Empire Provider News Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Empire Provider News Medicare Dec 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

November 2020 Empire Provider News Medicare Nov 1, 2020

Provider Chat — A fast, easy way to get your questions answered

November 2020 Empire Provider News Medicare Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Empire Provider News Medicare Nov 1, 2020

AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020

November 2020 Empire Provider News Medicare Nov 1, 2020

FDA approvals and expedited pathways used — new molecular entities

November 2020 Empire Provider News Medicare Nov 1, 2020

Preferred continuous glucose monitors

November 2020 Empire Provider News Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Empire Provider News Medicare Nov 1, 2020

Prior authorization requirements for the below codes (December 1, 2020)

October 2020 Empire Provider News Medicare Oct 1, 2020

Prior authorization requirements for the below codes (January 1, 2021)

October 2020 Empire Provider News Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Empire Provider News Medicare Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Empire Provider News Medicare Oct 1, 2020

Evaluation and management services correct coding

October 2020 Empire Provider News Medicare Oct 1, 2020

Provider transparency update

October 2020 Empire Provider News Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Empire Provider News Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Empire Provider News Medicare Oct 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Empire Provider News Medicare Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Empire Provider News Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Empire Provider News Medicare Sep 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Empire Provider News Medicare Aug 1, 2020

AIM Musculoskeletal program expansion

August 2020 Empire Provider News Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Empire Provider News Medicare Aug 1, 2020

Provider data update

August 2020 Empire Provider News Medicare Aug 1, 2020

Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM

August 2020 Empire Provider News Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Empire Provider News Medicare Aug 1, 2020

Prior authorization codes moving from AIM Specialty Health to Empire

July 2020 Empire Provider News Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Empire Provider News Medicare Jul 1, 2020

In-Office Assessment Program

July 2020 Empire Provider News Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Empire Provider News Medicare Jul 1, 2020

Introducing Interactive Care Reviewer - An online prior authorization tool

July 2020 Empire Provider News Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Empire Provider News Medicare Jul 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

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicare May 1, 2020

Multi-dose packaging

May 2020 Empire Provider News Medicare May 1, 2020

Keep up with Medicare news

May 2020 Empire Provider News Medicare May 1, 2020

Medical drug benefit Clinical Criteria updates (November 2019)

April 2020 Empire Provider News Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates (December 2019)

April 2020 Empire Provider News Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Empire Provider News Medicare Apr 1, 2020

Keep up with Medicare news

April 2020 Empire Provider News Medicare Apr 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Empire Provider News Medicare Mar 1, 2020

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

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

Keep up with Medicare news

March 2020 Empire Provider News Medicare Mar 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
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