CommercialMay 1, 2022

May 2022 Newsletter

Administrative

AdministrativeCommercialApril 30, 2022

Empire announces changes to post-payment audits conducted on our behalf

AdministrativeCommercialApril 30, 2022

Alcohol use disorder has a big cost

AdministrativeCommercialApril 30, 2022

May is national high blood pressure education month: We’ve got this!

AdministrativeCommercialApril 30, 2022

Resources to support diverse patients and communities

AdministrativeCommercialApril 30, 2022

Primary care appointment access and open panels

AdministrativeCommercialApril 30, 2022

CAA: Timely updates help keep our provider directories current

AdministrativeCommercialApril 30, 2022

Coding tips for reporting administration of Spravato®

AdministrativeCommercialApril 30, 2022

Action required: Conversion to a new reimbursement system for outpatient facility services

Policy Updates

Medical Policy & Clinical GuidelinesCommercialApril 30, 2022

Medical policy and clinical guideline updates

Material Adverse Change (MAC)

Products & Programs

Federal Employee Program (FEP)CommercialApril 30, 2022

Join us for an FEP Quality Learning program live webinar

Federal Employee Program (FEP)CommercialApril 30, 2022

Federal Employee Program® AIM radiology prior authorization review reminder

Federal Employee Program (FEP)CommercialApril 30, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

PharmacyCommercialApril 30, 2022

Specialty pharmacy updates - May 2022
Material Adverse Change (MAC)

PharmacyCommercialApril 30, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageApril 30, 2022

Keep up with Medicare news - May 2022

View these Medicare articles:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements

State & FederalMedicare AdvantageApril 30, 2022

New specialty pharmacy medical step therapy requirements

State & FederalMedicare AdvantageApril 30, 2022

HEDIS 2022: summary of changes from NCQA

State & FederalMedicare AdvantageApril 30, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

State & FederalMedicaidApril 30, 2022

Keep up with Medicaid news- May 2022

View these Medicaid articles:

  • Prior authorization requirement changes for HCPCS code K1022
  • New specialty pharmacy medical step therapy requirements

State & FederalMedicaidApril 30, 2022

CPT Category II update

State & FederalMedicaidApril 30, 2022

New Strategic Provider System implementation May 2022

State & FederalMedicaidApril 30, 2022

Screening for alcohol use disorder in high-prevalence demographics