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Provider Communications

Articles Category: State & Federal / Medicare

Title	Publication	Category	Date
Cologuard covered for Medicare Advantage	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Peer-to-peer process can help clarify clinical record	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Connecticut Teachers’ Retirement Board Offers Medicare Advantage Option	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
MA home health network to be delegated to myNEXUS	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Medication adherence incentive offered to EPHC providers	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Keep up with Medicare news	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
MA members receive incentives for completing screenings	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
DME providers and physicians: important wheelchair prior authorization information	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
MyDiversePatients.com addresses health care disparities	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
Keep up with Medicare news	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
Genetic testing prior authorization by ordering physician helps ensure accurate lab payment	October 2018 Empire Provider Newsletter	Medicare	Oct 1, 2018
Empire transitions MA back pain management and cardiology UM programs from OrthoNet to AIM	October 2018 Empire Provider Newsletter	Medicare	Oct 1, 2018
Please evaluate statin use for MA members with diabetes, cardiovascular disease	October 2018 Empire Provider Newsletter	Medicare	Oct 1, 2018
Medicare pharmacy and prescriber home starts January 2019	October 2018 Empire Provider Newsletter	Medicare	Oct 1, 2018
Group sponsored Medicare Advantage plan members to receive new ID cards	October 2018 Empire Provider Newsletter	Medicare	Oct 1, 2018
Keep up with Medicare news	October 2018 Empire Provider Newsletter	Medicare	Oct 1, 2018
New Medicare Advantage provider service phone number beginning January 1, 2019	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
2019 Medicare Advantage individual benefits and formularies	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
CMS Medicare Preclusion List effective April 1, 2019	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
When and how to initiate Medicare Advantage reopenings	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
Individual Medicare plans move compound drugs off formulary beginning January 1, 2019	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
Medicare Part B drugs may include Step Therapy beginning January 1, 2019	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
MediBlue Select HMO Network expands effective January 1, 2019	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
Medical Policies updated	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
Keep up with Medicare news	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
Empire offers risk adjustment and documentation training	January 2019 Empire Provider Newsletter	Medicare	Jan 1, 2019
Medicare Advantage member Explanation of Benefits redesigned	January 2019 Empire Provider Newsletter	Medicare	Jan 1, 2019
Keep up with Medicare news	January 2019 Empire Provider Newsletter	Medicare	Jan 1, 2019
Reminder - Empire follows Original Medicare policies	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Use grouped CPT codes for AIM Specialty Health authorizations	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Empire eye refraction and routine eye exam billing information	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
New specialty Medicare Part B device preferred product program	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Keep up with Medicare news	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Dual Eligible Special Needs Plans - provider training required	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Change to 835 ERA for all D-SNP MA members for 2019	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Keep up with Medicare news	March 2019 Empire Provider Newsletter	Medicare	Mar 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	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Keep up with Medicare news	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Online registration processes for electronic funds transfers and electronic remittance advices	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Partial hospitalization services	May 2019 Empire Provider Newsletter	Medicare	May 1, 2019
Keep up with Medicare news	May 2019 Empire Provider Newsletter	Medicare	May 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
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
Medicare Advantage: AIM Specialty Health programs may require documentation	August 2019 Empire Provider News	Medicare	Aug 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
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
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
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
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
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
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
Non-preferred products and corresponding preferred alternatives	March 2020 Empire Provider News	Medicare	Mar 1, 2020

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