CommercialNovember 1, 2021
November 2021 Newsletter
Administrative
CommercialOctober 31, 2021
Blue High Performance Network name changing for 2022CommercialOctober 31, 2021
Effective January 1, 2022: The 32BJ Health Fund Centers of Excellence for Bariatric and Joint Replacement surgeryCommercialOctober 31, 2021
Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claimsCommercialOctober 31, 2021
Time to prepare for HEDIS® medical record reviewCommercialOctober 31, 2021
CME credits available in 2021 for a variety of clinical quality webinars - register now!CommercialOctober 31, 2021
Reducing the burden of medical record review and improving health outcomes with ECDS reportingCommercialOctober 31, 2021
Join Empire in talking about racism and its impact on health and earn continuing education creditsCommercialOctober 31, 2021
Be antibiotics aware: Protect your patientCommercialOctober 31, 2021
Surprisingly easy ways to help patients quit smoking cigarettesCommercialOctober 31, 2021
Change in coverage for continuous glucose monitors for some fully insured groupsCommercialOctober 31, 2021
EnrollSafe is available: Our new electronic funds transfer enrollment portalCommercialOctober 31, 2021
Against medical advice (AMA) discharge physician tracking toolPolicy Updates
Products & Programs
CommercialOctober 31, 2021
Update regarding annual wellness visits for ACA-compliant health plansCommercialOctober 31, 2021
Important update on Botox® for Empire membersCommercialOctober 31, 2021
Specialty pharmacy updates are available - November 2021Material Adverse Change (MAC) notification
State & Federal
MedicaidOctober 31, 2021
New York state Medicaid expansion of coverage for colorectal cancer screeningMedicaidOctober 31, 2021
Electronic data interchange processMedicaidOctober 31, 2021
Clinical Criteria updatesMedicaidOctober 31, 2021
Unspecified diagnosis reminderMedicaidOctober 31, 2021
4 things you can do to encourage cancer screenings for your women patientsMedicaidOctober 31, 2021
Keep up with Medicaid news - November 2021- Medicaid continuous glucose monitoring systems
- Prior authorization updates for specialty pharmacy
Medicare AdvantageOctober 31, 2021
Webinars for City of New York retirees transitioning to new Medicare Advantage planMedicare AdvantageOctober 31, 2021
Electronic data interchange processMedicare AdvantageOctober 31, 2021
Clinical Criteria updatesMedicare AdvantageOctober 31, 2021
Empire BlueCross BlueShield offering Advance Medical Directives program for 2022Medicare AdvantageOctober 31, 2021
Keep up with Medicare news - November 2021View this Medicare article:
- Empire BlueCross BlueShield expands specialty pharmacy precertification list
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