CommercialSeptember 1, 2020
September 2020 Empire Provider News
Administrative
CommercialAugust 31, 2020
Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissionsCommercialAugust 31, 2020
CRA reporting update: 2020 prospective program continuesCommercialAugust 31, 2020
Providers can now receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist moduleCommercialAugust 31, 2020
Enhanced medical records submission process to support claims processingCommercialAugust 31, 2020
Patient360 adds care gap alert feedback for medical providersCommercialAugust 31, 2020
EDI gateway migration deadline is September 15, 2020CommercialAugust 31, 2020
New provider directory indicators for medication assisted treatment (MAT) providersPolicy Updates
CommercialAugust 31, 2020
Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)CommercialAugust 31, 2020
Frequency Editing (Professional)Products & Programs
CommercialAugust 31, 2020
Updates for specialty pharmacy are availableCommercialAugust 31, 2020
Empire to update formulary lists for commercial health plan pharmacy benefitState & Federal
Medicare AdvantageAugust 31, 2020
Keep up with Medicare newsMedicare AdvantageAugust 31, 2020
Medical drug benefit Clinical Criteria updatesMedicare AdvantageAugust 31, 2020
Update: Notice of changes to the AIM musculoskeletal programMedicaidAugust 31, 2020
Keep up with Medicaid newsMedicaidAugust 31, 2020
Medical Policies and Clinical Utilization Management Guidelines updateMedicaidAugust 31, 2020
Medical drug benefit Clinical Criteria updatesMedicaidAugust 31, 2020
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