New York
Provider Communications

Articles Month: November 2021

Title Publication Category Date

City of New York Retirees transition to NYC Medicare Advantage Plus

City of New York Retirees will transition to NYC Medicare Advantage Plus offered through an alliance between Empire BlueCross BlueShield ("Empire") and EmblemHealth effective January 1, 2022.  Approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan. If you currently provide care to City of New York retirees you can continue to care for these retirees on the new NYC Medicare Advantage Plus plan whether or not you participate with Empire’s or EmblemHealth’s Medicare Advantage PPO networks.

Read important information about this change here.

City of New York Retirees Transition to NYC Medicare Advantage Plus Administrative Nov 2, 2021

Blue High Performance Network name changing for 2022

November 2021 Newsletter Administrative Nov 1, 2021

Effective January 1, 2022: The 32BJ Health Fund Centers of Excellence for Bariatric and Joint Replacement surgery

November 2021 Newsletter Administrative Nov 1, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Newsletter Administrative Nov 1, 2021

Time to prepare for HEDIS® medical record review

November 2021 Newsletter Administrative Nov 1, 2021

CME credits available in 2021 for a variety of clinical quality webinars - register now!

November 2021 Newsletter Administrative Nov 1, 2021

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

November 2021 Newsletter Administrative Nov 1, 2021

Join Empire in talking about racism and its impact on health and earn continuing education credits

November 2021 Newsletter Administrative Nov 1, 2021

Be antibiotics aware: Protect your patient

November 2021 Newsletter Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Newsletter Administrative Nov 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Newsletter Administrative Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Newsletter Digital Tools Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Newsletter Digital Tools Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Newsletter Products & Programs Nov 1, 2021

Important update on Botox® for Empire members

November 2021 Newsletter Pharmacy Nov 1, 2021

Specialty pharmacy updates are available - November 2021

Material Adverse Change (MAC) notification

November 2021 Newsletter Pharmacy Nov 1, 2021

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)

November 2021 Newsletter Reimbursement Policies Nov 1, 2021

New York state Medicaid expansion of coverage for colorectal cancer screening

November 2021 Newsletter Medicaid Nov 1, 2021

Electronic data interchange process

November 2021 Newsletter Medicaid Nov 1, 2021

Clinical Criteria updates

November 2021 Newsletter Medicaid Nov 1, 2021

Unspecified diagnosis reminder

November 2021 Newsletter Medicaid Nov 1, 2021

4 things you can do to encourage cancer screenings for your women patients

November 2021 Newsletter Medicaid Nov 1, 2021

Keep up with Medicaid news - November 2021

View these Medicaid articles:
  • Medicaid continuous glucose monitoring systems
  • Prior authorization updates for specialty pharmacy
November 2021 Newsletter Medicaid Nov 1, 2021

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

November 2021 Newsletter Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Newsletter Medicare Nov 1, 2021

Clinical Criteria updates

November 2021 Newsletter Medicare Nov 1, 2021

Empire BlueCross BlueShield offering Advance Medical Directives program for 2022

November 2021 Newsletter Medicare Nov 1, 2021

Keep up with Medicare news - November 2021

View this Medicare article:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
November 2021 Newsletter Medicare Nov 1, 2021
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