September 1, 2019
September 2019 Empire Provider News
Filter By: AllCommercial
Administrative
CommercialAugust 31, 2019
Provider Transparency UpdateCommercialAugust 31, 2019
Empire CRA Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening nowCommercialAugust 31, 2019
Reminder about lab services for Suffolk County membersCommercialAugust 31, 2019
Empire launches Sydney on September 1; New app offers better digital health care support to membersCommercialAugust 31, 2019
PCP after-hours access requirementsCommercialAugust 31, 2019
Reminder: Changes to timely filing requirements for Medicare AdvantageBehavioral Health
CommercialAugust 31, 2019
Access requirements for Behavioral Healthcare servicesPolicy Updates
CommercialAugust 31, 2019
New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019CommercialAugust 31, 2019
Coding UpdatesCommercialAugust 31, 2019
Policy updatesCommercialAugust 31, 2019
New Reimbursement Policy - Intensity Modulated Radiation Therapy Planning and Delivery - ProfessionalCommercialAugust 31, 2019
Claim editing update for Excludes1 notesCommercialAugust 31, 2019
New Reimbursement Policy - Maternity Services and Multiple Delivery - ProfessionalProducts & Programs
CommercialAugust 31, 2019
Clinical Criteria and Prior Authorization updates for specialty pharmacy are availableCommercialAugust 31, 2019
Clinical Criteria updates for specialty pharmacy are availableState & Federal
Medicare AdvantageAugust 31, 2019
Keep up with Medicare newsMedicare AdvantageAugust 31, 2019
Customizations to the 23rd edition of the MCG Care GuidelinesMedicare AdvantageAugust 31, 2019
Pharmacy benefit manager change to IngenioRxMedicare AdvantageAugust 31, 2019
Changes to PA requirementsMedicare AdvantageAugust 31, 2019
Coming soon: electronic attachmentsMedicaidAugust 31, 2019
Provider satisfaction surveyMedicaidAugust 31, 2019
Ensuring quality of care when prescribing antipsychotic medications to children and adolescentsMedicaidAugust 31, 2019
MCG Care Guidelines update and customizationsMedicaidAugust 31, 2019
Clinical Criteria updatesMedicaidAugust 31, 2019
Evaluation and management services - over-coded servicesMedicaidAugust 31, 2019
Prior authorization changesMedicaidAugust 31, 2019
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