New York
Provider Communications

Articles Month: October 2018

Title Publication Category Date

Update to Durable Medical Equipment – effective October 14, 2018

October 2018 Empire Provider Newsletter Administrative Oct 12, 2018

Empire expands specialty pharmacy prior authorization list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire Expands specialty pharmacy clinically equivalent drug list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire accepts prior authorization requests for prescription medications online

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Access patient-specific drug benefit information through EMR

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Pharmacy information available on empireblue.com

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Attention: Updated or New Fee Schedules for Commercial products - REVISED DATE

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Empire launches additional changes to empireblue.com in October

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Electronic Member ID Cards: Online option available on Availity

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

What Matters Most: Improving the Patient Experience

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Special Investigations Unit Updates

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

HEDIS® 2018: Provider Incentive Winners Announced!

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Integrated Medical and Behavioral Healthcare Services

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Availity as Empire’s EDI Gateway

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Availity EDI Gateway Webinars Scheduled

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Empire fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Tips for billing CPT modifier 33

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

Policy Updates

October 2018 Empire Provider Newsletter Policy Updates Oct 1, 2018

Medical Policy Updates

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical Guideline Updates

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Review medical policy and clinical guidelines when referring services to a facility

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heart

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Reimbursement Policy Updates

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 1, 2018

New Reimbursement Policy - Facility Revenue Code Billing (Facility)

October 2018 Empire Provider Newsletter Reimbursement Policies Oct 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

EDI Gateway migration

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Empire Fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Vaginal birth after cesarean shared decision-making aid available

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Prior authorization requirements for high-level, definitive drug testing

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Prior authorization requirements for Interferon beta-1a

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Prior authorization requirements for Somatrem

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update: effective 1/25/18

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update: effective 3/22/18

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update: effective 11/1/18

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018
Page 1 of 1