New York
Provider Communications

Articles Month: May 2018

Title	Publication	Category	Date
Important Update: June 15, 2018 - Access to the Empire Facility / Professional Secure Portals Only on the Availity Portal	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Availity is now our designated EDI Gateway	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Introducing Interactive Care Reviewer for Online Authorizations	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Empire streamlines member identification cards	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Updated Provider Manual now available	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Receive Direct Deposit of Patient Payments with Healthcare Bill Payments	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Reminder: Miscellaneous durable medical equipment billing guideline:	June 2018 Empire Provider Newsletter	Administrative	May 30, 2018
Update to claim processing for services requiring AIM prior authorization	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Coverage Guideline not implemented - Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing (CG-MED-53)	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Empire expands specialty pharmacy prior authorization list	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Reminder: Empire accepts prior authorization requests for prescription medications online	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Pharmacy information available on empireblue.com/provider	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Verifying eligibility for expanded hospice benefits	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire’s Individualized Care Program to support palliative care for commercial members	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire Adopts MCG Care Guidelines for Behavioral Health Services	June 2018 Empire Provider Newsletter	Behavioral Health	May 30, 2018
Outpatient visits	June 2018 Empire Provider Newsletter	Behavioral Health	May 30, 2018
Policy Updates	June 2018 Empire Provider Newsletter	Policy Updates	May 30, 2018
Medical Policy Updates	June 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 30, 2018
Clinical Guideline Updates	June 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 30, 2018
Professional Reimbursement Policy Update	June 2018 Empire Provider Newsletter	Reimbursement Policies	May 30, 2018
Reimbursement Policy Reminder - Durable Medical Equipment (Professional)	June 2018 Empire Provider Newsletter	Reimbursement Policies	May 30, 2018
Cologuard covered for Medicare Advantage	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Peer-to-peer process can help clarify clinical record	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Connecticut Teachers’ Retirement Board Offers Medicare Advantage Option	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
MA home health network to be delegated to myNEXUS	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Medication adherence incentive offered to EPHC providers	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Keep up with Medicare news	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Empire to conduct post-payment reviews of distinct procedural services modifiers	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Miscellaneous durable medical equipment billing guidelines	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Prior authorization requirement update for Mylotarg (gemtuzumab ozogamicin)	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Electrical stimulation device to require prior authorization	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Lower extremity vascular intervention codes require prior authorization	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Prior authorization requirements for Darzalex (daratumumab) drug	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Services requiring prior authorization	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Medical Policies and Clinical Utilization Management Guidelines update	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Behavioral health network provider training	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Behavioral health Discharge Action Plan: improving care transitions	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Provider surveys	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Use the Provider Maintenance Form to update your information	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Complex Case Management program	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
What Matters Most: Improving the Patient Experience	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Coding Spotlight: Pregnancy, A provider’s guide to diagnose and code for pregnancy	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Making a change for the better - FEP® system migration information	June 2018 Empire Provider Newsletter	Federal Employee Plan (FEP)	May 30, 2018

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