New York
Provider Communications

Articles Month: July 2021

Title Publication Category Date

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET


10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET


6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET


Register Now!


Clinical Quality CME Webinar Series Continues - New York Administrative Jul 28, 2021

Surgical Clinical Site of Care review updates

July 2021 Newsletter Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

July 2021 Newsletter Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

July 2021 Newsletter Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Newsletter Administrative Jul 1, 2021

Register now to learn strategies to help you and your practice improve clinical quality

July 2021 Newsletter Administrative Jul 1, 2021

Commercial Repapering: Important update

July 2021 Newsletter Administrative Jul 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Newsletter Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Newsletter Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Newsletter Digital Tools Jul 1, 2021

Blue Precision program to be retired at the end of the year

July 2021 Newsletter Products & Programs Jul 1, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021

Material adverse change (MAC) notification

July 2021 Newsletter Products & Programs Jul 1, 2021

AIM Rehabilitative program - initial evaluations and site of service reviews

July 2021 Newsletter Products & Programs Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Pharmacy Jul 1, 2021

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
July 2021 Newsletter Pharmacy Jul 1, 2021

Updates for specialty pharmacy are effective October 1, 2021

Material adverse change (MAC) notification
July 2021 Newsletter Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates effective October 1, 2021

Material adverse change (MAC) notification
July 2021 Newsletter Pharmacy Jul 1, 2021

Medical policy updates and clinical guideline updates

Material adverse change (MAC) notification
July 2021 Newsletter Medical Policy & Clinical Guidelines Jul 1, 2021

New reimbursement policy: Non-patient Laboratory Services (Facility)

Material adverse change (MAC) notification
July 2021 Newsletter Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Consultations (Professional)

Material adverse change (MAC) notification
July 2021 Newsletter Reimbursement Policies Jul 1, 2021

Federal Employee Program® AIM Radiology prior authorization review

Material adverse change (MAC) notification
July 2021 Newsletter Federal Employee Plan (FEP) Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

July 2021 Newsletter Medicaid Jul 1, 2021

Let’s Vaccinate

July 2021 Newsletter Medicaid Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (Effective 10/01/21)

July 2021 Newsletter Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021

July 2021 Newsletter Medicaid Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Medicaid Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Newsletter Medicaid Jul 1, 2021

Retraction: AIM Rehabilitative program — initial evaluations and site of service reviews

July 2021 Newsletter Medicaid Jul 1, 2021

Updates to AIM Specialty Health Musculoskeletal program clinical appropriateness guidelines

July 2021 Newsletter Medicaid Jul 1, 2021

Coding spotlight: mental disorders in childhood

July 2021 Newsletter Medicaid Jul 1, 2021

What Matters Most: Improving the Patient Experience

July 2021 Newsletter Medicaid Jul 1, 2021

Resources to support your diverse patient panel

July 2021 Newsletter Medicaid Jul 1, 2021

Keep up with Medicaid news

July 2021 Newsletter Medicaid Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

July 2021 Newsletter Medicare Jul 1, 2021

Let’s Vaccinate

July 2021 Newsletter Medicare Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (Effective 10/01/21)

July 2021 Newsletter Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Newsletter Medicare Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Newsletter Medicare Jul 1, 2021
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