New York
Provider Communications

Articles Month: December 2022

Title Publication Category Date

Empire BlueCross BlueShield local precertification change in New York

Material Adverse Change (MAC)
January 2023 Newsletter Administrative Dec 30, 2022

Professional system updates for 2023

January 2023 Newsletter Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Newsletter Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Newsletter Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Newsletter Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Newsletter Administrative Dec 30, 2022

Empire BlueCross BlueShield local precertification change in New York

Material Adverse Change (MAC)
January 2023 Newsletter Administrative Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Newsletter Administrative Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Material Adverse Change (MAC)
January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines* Material adverse change

Material Adverse Change (MAC)
January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Medical Policy and Clinical Guidelines updates

Material Adverse Change (MAC)
January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Material Adverse Change (MAC)
January 2023 Newsletter Reimbursement Policies Dec 30, 2022

Specialty pharmacy updates

Material Adverse Change (MAC)
January 2023 Newsletter Pharmacy Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

Material Adverse Change (MAC)
January 2023 Newsletter Federal Employee Plan (FEP) Dec 30, 2022

Use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

January 2023 Newsletter Medicaid Dec 30, 2022

Keep up with Medicaid news - January 2023

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January 2023 Newsletter Medicaid Dec 30, 2022

Keep up with Medicare news - January 2023

View these Medicare articles:
January 2023 Newsletter Medicare Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

Material Adverse Change (MAC)
December 2022 Newsletter Administrative Dec 1, 2022

Important information about utilization management

December 2022 Newsletter Administrative Dec 1, 2022

State of Connecticut employer group - BlueCare Prime update

December 2022 Newsletter Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Newsletter Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Newsletter Administrative Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Newsletter Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on empireblue.com

December 2022 Newsletter Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Newsletter Administrative Dec 1, 2022

Case management program

December 2022 Newsletter Administrative Dec 1, 2022

Coordination of care

December 2022 Newsletter Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Newsletter Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Newsletter Administrative Dec 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
December 2022 Newsletter Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Newsletter Pharmacy Dec 1, 2022

Specialty pharmacy updates - December 2022

Material Adverse Change (MAC)
December 2022 Newsletter Pharmacy Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
December 2022 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
December 2022 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
December 2022 Newsletter Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Material Adverse Change (MAC)
December 2022 Newsletter Reimbursement Policies Dec 1, 2022

Update to the Pregnancy Notification Form

December 2022 Newsletter Medicaid Dec 1, 2022

Oral health equity

December 2022 Newsletter Medicaid Dec 1, 2022

Keep up with Medicaid news - December 2022

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December 2022 Newsletter Medicaid Dec 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

December 2022 Newsletter Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Newsletter Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Newsletter Medicare Dec 1, 2022

Keep up with Medicare news - December 2022

View these Medicaid articles:
December 2022 Newsletter Medicare Dec 1, 2022
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