CommercialApril 1, 2019
April 2019 Empire Provider Newsletter
Administrative
CommercialMarch 31, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?CommercialMarch 31, 2019
Clinical practice and preventive health guidelines available onlineCommercialMarch 31, 2019
New on Interactive Care Reviewer: Request Clinical AppealsPolicy Updates
CommercialMarch 31, 2019
Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness GuidelinesCommercialMarch 31, 2019
Update to AIM Sleep Disorder Management Clinical Appropriateness GuidelinesCommercialMarch 31, 2019
Update to AIM Advanced Imaging of the Heart Clinical Appropriateness GuidelinesCommercialMarch 31, 2019
Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness GuidelinesCommercialMarch 31, 2019
Medical Policy and Clinical Guideline UpdatesProducts & Programs
CommercialMarch 31, 2019
Reminder of New Referral ProcessCommercialMarch 31, 2019
New AIM Rehabilitative program effective July 1, 2019CommercialMarch 31, 2019
Pharmacy information available on empireblue.comCommercialMarch 31, 2019
Empire expands specialty pharmacy prior authorization listState & Federal
MedicaidMarch 31, 2019
Practitioners’ rights during credentialing processMedicaidMarch 31, 2019
Provider surveysMedicaidMarch 31, 2019
Medical Policies and Clinical Utilization Management Guidelines updateMedicaidMarch 31, 2019
Online registration processes for electronic funds transfers and electronic remittance advicesMedicaidMarch 31, 2019
Medical necessity review for appropriate level of careMedicaidMarch 31, 2019
Correction: Cervical length measurement by transvaginal ultrasoundMedicaidMarch 31, 2019
Help prevent preeclampsia with prenatal aspirinMedicaidMarch 31, 2019
Clinical Criteria updatesMedicare AdvantageMarch 31, 2019
Online registration processes for electronic funds transfers and electronic remittance advicesMedicare AdvantageMarch 31, 2019
Keep up with Medicare newsMedicare AdvantageMarch 31, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage membersTo view this publication online:
Visit https://providernews.anthem.com/new-york/publications/april-2019-empire-provider-newsletter-195
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