New York
Provider Communications

Articles Month: July 2022

Title Publication Category Date

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar Administrative Jul 20, 2022

Reimbursement policy update: Laboratory and Venipuncture Services - Professional & Facility

Material Adverse Change (MAC)

July 2022 Newsletter Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU - professional

Material Adverse Change (MAC)

July 2022 Newsletter Reimbursement Policies Jul 1, 2022

New reimbursement policy: Transitional Care Management - professional

July 2022 Newsletter Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy — Sexually Transmitted Infections - professional

July 2022 Newsletter Reimbursement Policies Jul 1, 2022

New reimbursement policy: Place of Service - facility

Material Adverse Change (MAC)
July 2022 Newsletter Reimbursement Policies Jul 1, 2022

Radiology prior authorization review transitioning to AIM

July 2022 Newsletter Federal Employee Plan (FEP) Jul 1, 2022

Prior authorization requirement changes effective August 1, 2022

July 2022 Newsletter Medicaid Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Newsletter Medicaid Jul 1, 2022

Update to electronic verification visit key points

July 2022 Newsletter Medicaid Jul 1, 2022

Provider reimbursement for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Counseling program

July 2022 Newsletter Medicaid Jul 1, 2022

Keep up with Medicaid news- July 2022

View these Medicaid articles:

  • Three-point match verification for professional claims payment
  • Prior authorization updates for medications billed under the medical benefit
  • Updates for medication codes billed under the medical benefit
July 2022 Newsletter Medicaid Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Newsletter Medicare Jul 1, 2022

Bedford Central School District, New York moves to the Empire BlueCross BlueShield Retiree Solutions Medicare Advantage Plan

July 2022 Newsletter Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Newsletter Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Newsletter Medicare Jul 1, 2022

Keep up with Medicare news - July 2022

View this Medicare article:

  • New specialty pharmacy medical step therapy requirements
July 2022 Newsletter Medicare Jul 1, 2022

Physician Office Lab Listing - updates effective August 1, 2022

July 2022 Newsletter Administrative Jul 1, 2022

Provider manual updated effective October 1, 2022

July 2022 Newsletter Administrative Jul 1, 2022

Introducing Elevance Health - Focusing on whole health and its most powerful drivers

July 2022 Newsletter Administrative Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Newsletter Administrative Jul 1, 2022

Updates to edits associated with implants

July 2022 Newsletter Administrative Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Newsletter Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Newsletter Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Newsletter Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Newsletter Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Newsletter Administrative Jul 1, 2022

Coming soon: The Empire BlueCross BlueShield Provider Learning Hub makes Availity learning easier

July 2022 Newsletter Digital Tools Jul 1, 2022

Enhancing claims attachment processes through digital applications

July 2022 Newsletter Digital Tools Jul 1, 2022

MCG to InterQual Behavioral Health Transition

July 2022 Newsletter Behavioral Health Jul 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

July 2022 Newsletter Pharmacy Jul 1, 2022

Pharmacy information available online

July 2022 Newsletter Pharmacy Jul 1, 2022

New reimbursement policy: Modifier FB – Professional and Facility

Material Adverse Change (MAC)
July 2022 Newsletter Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules – Professional

Material Adverse Change (MAC)
July 2022 Newsletter Reimbursement Policies Jul 1, 2022
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