New York
Provider Communications

Articles Month: February 2019

Title	Publication	Category	Date
Empire to enhance claim edits for outpatient facility claims	February 2019 Empire Provider Newsletter	Administrative	Feb 1, 2019
Clinical practice and preventive health guidelines available online	February 2019 Empire Provider Newsletter	Administrative	Feb 1, 2019
HEDIS 2019 Federal Employee Program medical record request requirements	February 2019 Empire Provider Newsletter	Federal Employee Plan (FEP)	Feb 1, 2019
New specialty pharmacy medical step therapy requirements	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
Diabetes Coding	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
New and adopted clinical guidelines effective May 1, 2019	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Un-adopted clinical guidelines effective February 1, 2019	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Reminder - Empire follows Original Medicare policies	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Use grouped CPT codes for AIM Specialty Health authorizations	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Empire eye refraction and routine eye exam billing information	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
New specialty Medicare Part B device preferred product program	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Keep up with Medicare news	February 2019 Empire Provider Newsletter	Medicare	Feb 1, 2019
Empire expands specialty pharmacy medical step therapy drug list	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Empire expands specialty pharmacy prior authorization list	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Clinical criteria updates for specialty pharmacy	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Pharmacy information available on empireblue.com	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Injectable Substances with Related Injection Services - (Professional)	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
Body Mass Index (BMI) - Facility	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
Reminder Review ICD-10-CM Coding Guidelines - Professional	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019

Page 1 of 1

Articles by Publication

Articles by Category

Articles by Date

New York
Provider Communications

Articles Month: February 2019

Empire to enhance claim edits for outpatient facility claims

Clinical practice and preventive health guidelines available online

HEDIS 2019 Federal Employee Program medical record request requirements

New specialty pharmacy medical step therapy requirements

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service

Diabetes Coding

New and adopted clinical guidelines effective May 1, 2019

Un-adopted clinical guidelines effective February 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Reminder - Empire follows Original Medicare policies

Use grouped CPT codes for AIM Specialty Health authorizations

Empire eye refraction and routine eye exam billing information

New specialty Medicare Part B device preferred product program

Keep up with Medicare news

Empire expands specialty pharmacy medical step therapy drug list

Empire expands specialty pharmacy prior authorization list

Clinical criteria updates for specialty pharmacy

Pharmacy information available on empireblue.com

Injectable Substances with Related Injection Services - (Professional)

Body Mass Index (BMI) - Facility

Reminder Review ICD-10-CM Coding Guidelines - Professional

New YorkProvider Communications

Articles Month: February 2019

New York
Provider Communications