CommercialMay 30, 2018
June 2018 Empire Provider Newsletter
Administrative
CommercialMay 30, 2018
Important Update: June 15, 2018 - Access to the Empire Facility / Professional Secure Portals Only on the Availity PortalCommercialMay 30, 2018
Availity is now our designated EDI GatewayCommercialMay 30, 2018
Introducing Interactive Care Reviewer for Online AuthorizationsCommercialMay 30, 2018
Empire streamlines member identification cardsCommercialMay 30, 2018
Updated Provider Manual now availableCommercialMay 30, 2018
Receive Direct Deposit of Patient Payments with Healthcare Bill PaymentsCommercialMay 30, 2018
Reminder: Miscellaneous durable medical equipment billing guideline:Behavioral Health
CommercialMay 30, 2018
Empire Adopts MCG Care Guidelines for Behavioral Health ServicesCommercialMay 30, 2018
Outpatient visitsPolicy Updates
CommercialMay 30, 2018
Policy UpdatesCommercialMay 30, 2018
Medical Policy UpdatesCommercialMay 30, 2018
Clinical Guideline UpdatesCommercialMay 30, 2018
Professional Reimbursement Policy UpdateCommercialMay 30, 2018
Reimbursement Policy Reminder - Durable Medical Equipment (Professional)Products & Programs
CommercialMay 30, 2018
Update to claim processing for services requiring AIM prior authorizationCommercialMay 30, 2018
Updates to AIM Musculoskeletal Program Clinical Appropriateness GuidelinesCommercialMay 30, 2018
Coverage Guideline not implemented - Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing (CG-MED-53)CommercialMay 30, 2018
Verifying eligibility for expanded hospice benefitsCommercialMay 30, 2018
Empire’s Individualized Care Program to support palliative care for commercial membersCommercialMay 30, 2018
Making a change for the better - FEP® system migration informationCommercialMay 30, 2018
Empire expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug listCommercialMay 30, 2018
Empire expands specialty pharmacy prior authorization listCommercialMay 30, 2018
Reminder: Empire accepts prior authorization requests for prescription medications onlineCommercialMay 30, 2018
Pharmacy information available on empireblue.com/providerState & Federal
Medicare AdvantageMay 30, 2018
Cologuard covered for Medicare AdvantageMedicare AdvantageMay 30, 2018
Peer-to-peer process can help clarify clinical recordMedicare AdvantageMay 30, 2018
Motion Picture Industry Pension and Health Plans Offers Medicare Advantage OptionMedicare AdvantageMay 30, 2018
Connecticut Teachers’ Retirement Board Offers Medicare Advantage OptionMedicare AdvantageMay 30, 2018
MA home health network to be delegated to myNEXUSMedicare AdvantageMay 30, 2018
Medication adherence incentive offered to EPHC providersMedicare AdvantageMay 30, 2018
Keep up with Medicare newsMedicaidMay 30, 2018
Empire to conduct post-payment reviews of distinct procedural services modifiersMedicaidMay 30, 2018
Miscellaneous durable medical equipment billing guidelinesMedicaidMay 30, 2018
Prior authorization requirement update for Mylotarg (gemtuzumab ozogamicin)MedicaidMay 30, 2018
Electrical stimulation device to require prior authorizationMedicaidMay 30, 2018
Chimeric antigen receptor T-cell therapy requires prior authorization for all places of serviceMedicaidMay 30, 2018
Lower extremity vascular intervention codes require prior authorizationMedicaidMay 30, 2018
Prior authorization requirements for Darzalex (daratumumab) drugMedicaidMay 30, 2018
Services requiring prior authorizationMedicaidMay 30, 2018
Medical Policies and Clinical Utilization Management Guidelines updateMedicaidMay 30, 2018
Behavioral health network provider trainingMedicaidMay 30, 2018
Behavioral health Discharge Action Plan: improving care transitionsMedicaidMay 30, 2018
Provider surveysMedicaidMay 30, 2018
Use the Provider Maintenance Form to update your informationMedicaidMay 30, 2018
Complex Case Management programMedicaidMay 30, 2018
What Matters Most: Improving the Patient ExperienceTo view this publication online:
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