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Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

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

When and how to initiate Medicare Advantage reopenings

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

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

August 2020 Empire Provider News Medicare Aug 1, 2020

Verifying and updating your provider information

January 2020 Empire Provider News Medicare Jan 1, 2020

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Newsletter Medicare May 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicare Jan 1, 2021

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Empire Provider News Medicare Sep 1, 2020

Update: 2019 risk adjustment provider training

October 2019 Empire Provider News Medicare Oct 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

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

November 2020 Empire Provider News Medicare Nov 1, 2020

Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Social determinants of health support expanding with GroundGame Health

October 2020 Empire Provider News Medicare Oct 1, 2020

Review of professional claims with emergency department level 5 E&M codes

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Remittance Inquiry tool now available

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

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

March 2020 Empire Provider News Medicare Mar 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

Reminder to Medicare Advantage providers

December 2019 Empire Provider News Medicare Dec 1, 2019

Reminder to Medicare Advantage providers

January 2020 Empire Provider News Medicare Jan 1, 2020

Reminder - Empire follows Original Medicare policies

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicare May 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

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

March 2020 Empire Provider News Medicare Mar 1, 2020

Provider transparency update

October 2020 Empire Provider News Medicare Oct 1, 2020

Provider training series

December 2019 Empire Provider News Medicare Dec 1, 2019

Provider data update

August 2020 Empire Provider News Medicare Aug 1, 2020

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

November 2020 Empire Provider News Medicare Nov 1, 2020

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

October 2020 Empire Provider News Medicare Oct 1, 2020

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

October 2020 Empire Provider News Medicare Oct 1, 2020

Prior authorization requirements changes effective November 1, 2019

October 2019 Empire Provider News Medicare Oct 1, 2019

Prior authorization codes moving from AIM Specialty Health to Empire

July 2020 Empire Provider News Medicare Jul 1, 2020

Preferred continuous glucose monitors

November 2020 Empire Provider News Medicare Nov 1, 2020

Postponed - Review of professional claims with emergency room level 5 E/M codes

February 2020 Empire Provider News Medicare Feb 1, 2020

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Pharmacy benefit manager change to IngenioRx

September 2019 Empire Provider News Medicare Sep 1, 2019

Peer-to-peer process can help clarify clinical record

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Patient360 enhancement for medical providers

October 2020 Empire Provider News Medicare Oct 1, 2020

Partial hospitalization services

May 2019 Empire Provider Newsletter Medicare May 1, 2019

Online registration processes for electronic funds transfers and electronic remittance advices

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Oncology dose reduction program beginning July 1, 2021

April 2021 Newsletter Medicare Apr 1, 2021

Notify us of telehealth services

April 2021 Newsletter Medicare Apr 1, 2021

Non-preferred products and corresponding preferred alternatives

March 2020 Empire Provider News Medicare Mar 1, 2020

New specialty Medicare Part B device preferred product program

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

New provider directory indicator for telehealth services

March 2021 Empire Provider News Medicare Mar 1, 2021

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

MyDiversePatients.com addresses health care disparities

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Multi-dose packaging

May 2020 Empire Provider News Medicare May 1, 2020

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

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

Medicare preferred continuous glucose monitors

October 2019 Empire Provider News Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

January 2020 Empire Provider News Medicare Jan 1, 2020

Medicare pharmacy and prescriber home starts January 2019

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medicare Advantage: Special needs plans - provider training required

August 2019 Empire Provider News Medicare Aug 1, 2019

Medicare Advantage: Sepsis diagnosis coding and billing reminder

July 2019 Empire Provider News Medicare Jul 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: Electronic claim payment reconsideration

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 Outpatient Rehabilitation Program transition information

February 2020 Empire Provider News Medicare Feb 1, 2020

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

December 2020 Empire Provider News Medicare Dec 1, 2020

Medical Policies updated

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

October 2019 Empire Provider News Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

July 2019 Empire Provider News Medicare Jul 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

December 2020 Empire Provider News Medicare Dec 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

March 2021 Empire Provider News Medicare Mar 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

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

Medical drug benefit Clinical Criteria updates

January 2020 Empire Provider News Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Empire Provider News Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Empire Provider News Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Empire Provider News Medicare Sep 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Empire Provider News Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Empire Provider News Medicare Nov 1, 2020

Medical drug benefit Clinical Criteria updates

January 2021 Empire Provider News Medicare Jan 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Empire Provider News Medicare Feb 1, 2021

MediBlue Select HMO Network expands effective January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Maximizing efficient, high quality COVID-19 screenings

May 2021 Newsletter Medicare May 1, 2021

MA members receive incentives for completing screenings

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

MA home health network to be delegated to myNEXUS

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Lowering health risks with no-cost statins

October 2019 Empire Provider News Medicare Oct 1, 2019

Keep up with Medicare news

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Keep up with Medicare news

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

Keep up with Medicare news

October 2018 Empire Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

May 2019 Empire Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

July 2019 Empire Provider News Medicare Jul 1, 2019

Keep up with Medicare news

August 2019 Empire Provider News Medicare Aug 1, 2019

Keep up with Medicare news

September 2019 Empire Provider News Medicare Sep 1, 2019

Keep up with Medicare news

October 2019 Empire Provider News Medicare Oct 1, 2019

Keep up with Medicare news

November 2019 Empire Provider News Medicare Nov 1, 2019
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