New York
Provider Communications

Articles Month: October 2018

Title	Publication	Category	Date
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
Update to Durable Medical Equipment – effective October 14, 2018	October 2018 Empire Provider Newsletter	Administrative	Oct 12, 2018

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