CommercialFebruary 1, 2019
February 2019 Empire Provider Newsletter
Administrative
CommercialJanuary 31, 2019
Clinical practice and preventive health guidelines available onlineCommercialJanuary 31, 2019
Empire to enhance claim edits for outpatient facility claimsPolicy Updates
CommercialJanuary 31, 2019
Update to AIM Musculoskeletal Program Clinical Appropriateness GuidelinesCommercialJanuary 31, 2019
Un-adopted clinical guidelines effective February 1, 2019CommercialJanuary 31, 2019
New and adopted clinical guidelines effective May 1, 2019CommercialJanuary 31, 2019
Reminder Review ICD-10-CM Coding Guidelines - ProfessionalCommercialJanuary 31, 2019
Body Mass Index (BMI) - FacilityCommercialJanuary 31, 2019
Injectable Substances with Related Injection Services - (Professional)Products & Programs
CommercialJanuary 31, 2019
HEDIS 2019 Federal Employee Program medical record request requirementsCommercialJanuary 31, 2019
Empire expands specialty pharmacy medical step therapy drug listCommercialJanuary 31, 2019
Pharmacy information available on empireblue.comCommercialJanuary 31, 2019
Clinical criteria updates for specialty pharmacyCommercialJanuary 31, 2019
Empire expands specialty pharmacy prior authorization listState & Federal
MedicaidJanuary 31, 2019
Diabetes CodingMedicaidJanuary 31, 2019
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other ServiceMedicaidJanuary 31, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefitMedicaidJanuary 31, 2019
New specialty pharmacy medical step therapy requirementsMedicare AdvantageJanuary 31, 2019
Keep up with Medicare newsMedicare AdvantageJanuary 31, 2019
New specialty Medicare Part B device preferred product programMedicare AdvantageJanuary 31, 2019
Empire eye refraction and routine eye exam billing informationMedicare AdvantageJanuary 31, 2019
Use grouped CPT codes for AIM Specialty Health authorizationsMedicare AdvantageJanuary 31, 2019
Reminder - Empire follows Original Medicare policiesTo view this publication online:
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