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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