CommercialOctober 1, 2018
October 2018 Empire Provider Newsletter
Administrative
CommercialOctober 1, 2018
Attention: Updated or New Fee Schedules for Commercial products - REVISED DATECommercialOctober 1, 2018
Empire launches additional changes to empireblue.com in OctoberCommercialOctober 1, 2018
Electronic Member ID Cards: Online option available on AvailityCommercialOctober 1, 2018
What Matters Most: Improving the Patient ExperienceCommercialOctober 1, 2018
Special Investigations Unit UpdatesCommercialOctober 1, 2018
HEDIS® 2018: Provider Incentive Winners Announced!CommercialOctober 1, 2018
Integrated Medical and Behavioral Healthcare ServicesCommercialOctober 1, 2018
Availity as Empire’s EDI GatewayCommercialOctober 1, 2018
Availity EDI Gateway Webinars ScheduledCommercialOctober 1, 2018
Empire fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted TherapyCommercialOctober 1, 2018
Tips for billing CPT modifier 33CommercialOctober 12, 2018
Update to Durable Medical Equipment – effective October 14, 2018Policy Updates
CommercialOctober 1, 2018
Policy UpdatesCommercialOctober 1, 2018
Medical Policy UpdatesCommercialOctober 1, 2018
Clinical Guideline UpdatesCommercialOctober 1, 2018
Review medical policy and clinical guidelines when referring services to a facilityCommercialOctober 1, 2018
Update to AIM Specialty Health radiation oncology clinical appropriateness guidelinesCommercialOctober 1, 2018
Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heartCommercialOctober 1, 2018
Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelinesCommercialOctober 1, 2018
Reimbursement Policy UpdatesCommercialOctober 1, 2018
Reimbursement Policy Update - Readmissions (Facility)CommercialOctober 1, 2018
New Reimbursement Policy - Facility Revenue Code Billing (Facility)Products & Programs
CommercialOctober 1, 2018
Empire expands specialty pharmacy prior authorization listCommercialOctober 1, 2018
Empire Expands specialty pharmacy clinically equivalent drug listCommercialOctober 1, 2018
Empire expands specialty pharmacy level of care (clinical site of care) drug listCommercialOctober 1, 2018
Empire accepts prior authorization requests for prescription medications onlineCommercialOctober 1, 2018
Access patient-specific drug benefit information through EMRCommercialOctober 1, 2018
Pharmacy information available on empireblue.comState & Federal
Medicare AdvantageOctober 1, 2018
Genetic testing prior authorization by ordering physician helps ensure accurate lab paymentMedicare AdvantageOctober 1, 2018
Empire transitions MA back pain management and cardiology UM programs from OrthoNet to AIMMedicare AdvantageOctober 1, 2018
Please evaluate statin use for MA members with diabetes, cardiovascular diseaseMedicare AdvantageOctober 1, 2018
Medicare pharmacy and prescriber home starts January 2019Medicare AdvantageOctober 1, 2018
Group sponsored Medicare Advantage plan members to receive new ID cardsMedicare AdvantageOctober 1, 2018
Keep up with Medicare newsMedicaidOctober 1, 2018
EDI Gateway migrationMedicaidOctober 1, 2018
Empire Fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted TherapyMedicaidOctober 1, 2018
Vaginal birth after cesarean shared decision-making aid availableMedicaidOctober 1, 2018
Cervical length measurement by transvaginal ultrasoundMedicaidOctober 1, 2018
Prior authorization requirements for high-level, definitive drug testingMedicaidOctober 1, 2018
Prior authorization requirements for Interferon beta-1aMedicaidOctober 1, 2018
Prior authorization requirements for SomatremMedicaidOctober 1, 2018
Medical Policies and Clinical Utilization Management Guidelines update: effective 1/25/18MedicaidOctober 1, 2018
Medical Policies and Clinical Utilization Management Guidelines update: effective 3/22/18MedicaidOctober 1, 2018
Medical Policies and Clinical Utilization Management Guidelines update: effective 11/1/18To view this publication online:
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