New York
Provider Communications

Articles Month: April 2019

Title	Publication	Category	Date
Reminder of New Referral Process	April 2019 Empire Provider Newsletter	Products & Programs	Apr 1, 2019
New AIM Rehabilitative program effective July 1, 2019	April 2019 Empire Provider Newsletter	Products & Programs	Apr 1, 2019
Empire expands specialty pharmacy prior authorization list	April 2019 Empire Provider Newsletter	Pharmacy	Apr 1, 2019
Pharmacy information available on empireblue.com	April 2019 Empire Provider Newsletter	Pharmacy	Apr 1, 2019
Empire CRA Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided	April 2019 Empire Provider Newsletter	Administrative	Apr 1, 2019
New on Interactive Care Reviewer: Request Clinical Appeals	April 2019 Empire Provider Newsletter	Administrative	Apr 1, 2019
Clinical practice and preventive health guidelines available online	April 2019 Empire Provider Newsletter	Administrative	Apr 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?	April 2019 Empire Provider Newsletter	Administrative	Apr 1, 2019
Medical Policy and Clinical Guideline Updates	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
New Reimbursement Policy - Partial Hospitalization Program and Intensive Outpatient Program Services Facility	April 2019 Empire Provider Newsletter	Reimbursement Policies	Apr 1, 2019
Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Keep up with Medicare news	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Online registration processes for electronic funds transfers and electronic remittance advices	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Clinical Criteria updates	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Help prevent preeclampsia with prenatal aspirin	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Correction: Cervical length measurement by transvaginal ultrasound	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Medical necessity review for appropriate level of care	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Online registration processes for electronic funds transfers and electronic remittance advices	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Provider surveys	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Practitioners’ rights during credentialing process	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019

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New York
Provider Communications

Articles Month: April 2019

Reminder of New Referral Process

New AIM Rehabilitative program effective July 1, 2019

Empire expands specialty pharmacy prior authorization list

Pharmacy information available on empireblue.com

Empire CRA Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

New on Interactive Care Reviewer: Request Clinical Appeals

Clinical practice and preventive health guidelines available online

Why do patients stop taking their prescribed medications and what can you do to help them?

Medical Policy and Clinical Guideline Updates

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guidelines

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

New Reimbursement Policy - Partial Hospitalization Program and Intensive Outpatient Program Services Facility

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

Keep up with Medicare news

Online registration processes for electronic funds transfers and electronic remittance advices

Clinical Criteria updates

Help prevent preeclampsia with prenatal aspirin

Correction: Cervical length measurement by transvaginal ultrasound

Medical necessity review for appropriate level of care

Online registration processes for electronic funds transfers and electronic remittance advices

Medical Policies and Clinical Utilization Management Guidelines update

Provider surveys

Practitioners’ rights during credentialing process

New YorkProvider Communications

Articles Month: April 2019

New York
Provider Communications