New York
Provider Communications

January 2023 Newsletter

Download as PDF

Title Category

Empire BlueCross BlueShield local precertification change in New York

Material Adverse Change (MAC)
Administrative

Childhood Immunization Status and Lead Screening in Children for HEDIS

Administrative

Empire BlueCross BlueShield local precertification change in New York

Material Adverse Change (MAC)
Administrative

Outpatient facility revenue code billing requirements

Administrative

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

Administrative

Outpatient system updates for 2023

Administrative

Professional system updates for 2023

Administrative

Engagement with your patient counts

Administrative

Federal Employee Program observation conversion for musculoskeletal cases

Material Adverse Change (MAC)
Federal Employee Plan (FEP)

Keep up with Medicaid news - January 2023

View these Medicaid articles:
Medicaid

Use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

Medicaid

Monkeypox and smallpox vaccines: Product code on claims

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines* Material adverse change

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Medical Policy and Clinical Guidelines updates

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Keep up with Medicare news - January 2023

View these Medicare articles:
Medicare

Specialty pharmacy updates

Material Adverse Change (MAC)
Pharmacy

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Material Adverse Change (MAC)
Reimbursement Policies
Page 1 of 1