CommercialNovember 1, 2020
November 2020 Empire Provider News
Administrative
CommercialOctober 31, 2020
Digital transactions cut administrative tasks in halfCommercialOctober 31, 2020
Clinical Laboratory Improvement Amendments (CLIA) Number – Additional InformationCommercialOctober 31, 2020
Availity Attachment Tools for Empire and Affiliate Payers – Live WebinarsCommercialOctober 31, 2020
US Antibiotic Awareness WeekCommercialOctober 31, 2020
Get the full picture of your patient’s health through their smartphonePolicy Updates
CommercialOctober 31, 2020
Reminder: Post-service reviews using AIMCommercialOctober 31, 2020
Documentation Standards for Episodes of Care (Professional)CommercialOctober 31, 2020
Bundled Services and Supplies (Professional)Products & Programs
CommercialOctober 31, 2020
Reminder: Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO MembersCommercialOctober 31, 2020
Prior authorization updates for specialty pharmacy are availableCommercialOctober 31, 2020
IngenioRx Introduces New Pharmacy Network in 2021CommercialOctober 31, 2020
Clinical Criteria updates for specialty pharmacy are availableState & Federal
MedicaidOctober 31, 2020
Keep up with Medicaid newsMedicaidOctober 31, 2020
Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative careMedicaidOctober 31, 2020
Medical drug benefit Clinical Criteria updatesMedicaidOctober 31, 2020
Reimbursement Policy: Nurse Practitioner and Physician Assistant Services (Professional)MedicaidOctober 31, 2020
Coding spotlight: tips and best practices for complianceMedicaidOctober 31, 2020
Inhaled nitric oxide reviews for diagnosis-related group admissionsMedicaidOctober 31, 2020
Provider transparency updateMedicaidOctober 31, 2020
New specialty pharmacy medical step therapy requirements (Herceptin)MedicaidOctober 31, 2020
New specialty pharmacy medical step therapy requirements (Avastin)MedicaidOctober 31, 2020
Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinationsMedicare AdvantageOctober 31, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness GuidelinesMedicare AdvantageOctober 31, 2020
Provider Chat — A fast, easy way to get your questions answeredMedicare AdvantageOctober 31, 2020
Medical drug benefit Clinical Criteria updatesMedicare AdvantageOctober 31, 2020
AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020Medicare AdvantageOctober 31, 2020
FDA approvals and expedited pathways used — new molecular entitiesMedicare AdvantageOctober 31, 2020
Preferred continuous glucose monitorsMedicare AdvantageOctober 31, 2020
Keep up with Medicare newsMedicaidOctober 31, 2020
Attention: Updated laboratory fee scheduleMedicaidOctober 31, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness GuidelinesMedicaidOctober 31, 2020
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