CommercialMarch 1, 2023
March 2023 Empire Provider News
Administrative
CommercialMedicare AdvantageMedicaidMarch 1, 2023
Time to prepare for HEDIS medical record reviewCommercialMarch 1, 2023
March is National Colorectal Cancer Awareness MonthCommercialMedicare AdvantageMarch 1, 2023
Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list updateCommercialMedicare AdvantageMedicaidMarch 1, 2023
Notice of assignment of your Empire Provider Agreement to Carelon (formerly Beacon)CommercialFebruary 22, 2023
Group number change for Screen Actors Guild-American Federation of Television and Radio Artists Health PlanCommercialMedicare AdvantageMedicaidMarch 1, 2023
Advancing Mental Health Equity for Youth & Young AdultsCommercialMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsPolicy Updates
CommercialMarch 1, 2023
Reimbursement policy update: Modifiers 25 and 57 - ProfessionalProducts & Programs
CommercialMedicare AdvantageMarch 1, 2023
Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023CommercialMarch 1, 2023
Specialty pharmacy updates for March 2023CommercialMarch 1, 2023
Clinical Criteria updates for specialty pharmacyCommercialMay 1, 2023
Pharmacy information available on our provider websiteState & Federal
MedicaidMarch 1, 2023
Policy Update: Modifiers 25 and 57 (Policy G-06003, effective 04/01/2023)Material Adverse Change (MAC)
MedicaidMarch 1, 2023
Keep up with Medicaid news - March 2023Medicare AdvantageMarch 1, 2023
Informational Update: Modifier Usage (Policy G-06006)Medicare AdvantageMarch 1, 2023
Shared savings and transition care management after inpatient dischargesMedicare AdvantageMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsMedicare AdvantageMarch 1, 2023
Keep up with Medicare news - March 2023View these Medicare articles:
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
- Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Neulasta, Neulasta OnPro, Udenyca)
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