New York
Provider Communications

Articles

Title Publication Category Date

Empire expands specialty pharmacy prior authorization list

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available on empireblue.com

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Empire to enhance claim edits for outpatient facility claims

February 2019 Empire Provider Newsletter Administrative Feb 1, 2019

Clinical practice and preventive health guidelines available online

February 2019 Empire Provider Newsletter Administrative Feb 1, 2019

New and adopted clinical guidelines effective May 1, 2019

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Un-adopted clinical guidelines effective February 1, 2019

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Injectable Substances with Related Injection Services - (Professional)

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Body Mass Index (BMI) - Facility

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Reminder Review ICD-10-CM Coding Guidelines - Professional

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

HEDIS 2019 Federal Employee Program medical record request requirements

February 2019 Empire Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Reminder - Empire follows Original Medicare policies

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Empire eye refraction and routine eye exam billing information

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Diabetes Coding

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

N/A N/A Jan 30, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Empire Members

January Empire Network eUPDATE Administrative Jan 25, 2019

Simplifying medication prior authorization processes

January 2019 Empire Provider Newsletter Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Empire Provider Newsletter Pharmacy Jan 1, 2019

Pharmacy information available on empireblue.com

January 2019 Empire Provider Newsletter Pharmacy Jan 1, 2019

Attention: Updated or New Fee Schedules for Commercial products

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Final Notice: Empire Facility and Physician Portal Retirement - January 9, 2019

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Streamline Workflow with Medical Attachments Tool

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

HEDIS 2019 starts early February

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Clinical practice and preventive health guidelines available online

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Policy updates

January 2019 Empire Provider Newsletter Policy Updates Jan 1, 2019

Medical Policy Updates

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical Guideline Updates

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Update on clinical guidelines communicated in October 2018 provider newsletter

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Empire offers risk adjustment and documentation training

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Transition of Outpatient Rehabilitation Utilization Management program

January 2019 Empire Provider Newsletter Medicaid Jan 1, 2019

My Diverse Patients: A website to support your diverse patients

January 2019 Empire Provider Newsletter Medicaid Jan 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

January 2019 Empire Provider Newsletter Medicaid Jan 1, 2019

New Provider Learning Opportunity: Put the ProviderPortal to Work for You

January 2019 Empire Provider Newsletter Medicaid Jan 1, 2019

When and how to initiate Medicare Advantage reopenings

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

MediBlue Select HMO Network expands effective January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medical Policies updated

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Electronic data interchange gateway update

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Empire HealthPlus adopts MCG Care Guidelines for clinical reviews of mental health services

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Sublocade

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

UPDATE: Prior authorization requirements for high-level, definitive drug testing delayed

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Viral suppression rates improve in patients with HIV in the US,while disparities continue to exist

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Reimbursement Policy Update: Claims Requiring Additional Documentation (Policy 06-031, effective 03/01/19)

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Transition of Outpatient Rehabilitation Utilization Management Program effective January 1, 2019

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Coding spotlight: substance use disorders and smoking

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Pharmacy management information

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Clinical Guideline Updates

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Empire accepts electronic prior authorization requests for prescription medications online

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on empireblue.com

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Empire announces a new network - Blue Access

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Empire announces changes to the Individual Health Benefit Plans

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Prepare NOW for Empire Facility and Physician Portal Retirement

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Explore new enhancements to the Education and Reference Center

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Company works to simplify payment recovery process for National Accounts membership

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

ConditionCare Program Benefits Patients and Physicians

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits patients and physicians

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Coordination of Care

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Important Information about Utilization Management

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available online

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Policy updates

December 2018 Empire Provider Newsletter Policy Updates Dec 1, 2018

Medical Policy Updates

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Review medical policy and clinical guidelines when referring services to a facility

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Reimbursement Policy Updates

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Bundled Services and Supplies - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

Coordination of Benefits for an FEP member

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 FEP Benefit information available online

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Anthem, Inc., Empire's parent company, has tapped Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Empire Network eUpdate Administrative Nov 1, 2018

Update to Durable Medical Equipment – effective October 14, 2018

October 2018 Empire Provider Newsletter Administrative Oct 12, 2018

Empire expands specialty pharmacy prior authorization list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018
Previous Page Page 2 of 4 Next Page