CommercialSeptember 1, 2021
September 2021 Newsletter
Administrative
CommercialAugust 31, 2021
Register now for our September CME webinars!CommercialAugust 31, 2021
HEDIS® medical record submission made easier with our Remote EMR Access ServiceCommercialAugust 31, 2021
National Accounts 2022 Pre-certification listCommercialAugust 31, 2021
Cure for the common cold: rest, fluids and this free prescription padBe Antibiotic Aware campaign offers a prescription solution to antibiotics
CommercialAugust 31, 2021
6 SIMPLE strategies to help increase medication adherenceCommercialAugust 31, 2021
Statin therapy for patients with diabetesCommercialAugust 31, 2021
Get your payments faster when you sign up for electronic funds transferIntroducing EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers - replacing CAQH Enrollhub effective November 1, 2021.
Policy Updates
CommercialAugust 31, 2021
Reimbursement policy update: Sexually Transmitted Infections Testing (Professional)Material adverse change (MAC) notification
CommercialAugust 31, 2021
Reimbursement policy reminder Professional Anesthesia Services (Professional)CommercialAugust 31, 2021
Reimbursement policy update: Drug Screen Testing (Professional)Products & Programs
CommercialAugust 31, 2021
Federal Employee Program® AIM Radiology prior authorization review transition delayed until NovemberMaterial adverse change (MAC) notification
CommercialAugust 31, 2021
Clinical Criteria updates for specialty pharmacyCommercialAugust 31, 2021
Updates for specialty pharmacy are available - September 2021Material adverse change (MAC) notification
State & Federal
Medicare AdvantageAugust 31, 2021
Keep up with Medicare news - September 2021- Clinical Criteria Updates Notification May 2021
Medicare AdvantageAugust 31, 2021
Prior authorization/Precertification form notificationMedicare AdvantageAugust 31, 2021
Utilization management authorization rule operationsMedicare AdvantageAugust 31, 2021
Reimbursement Policy Update: DRG Inpatient Facility Transfers (Effective 11/30/21)Medicare AdvantageAugust 31, 2021
City of New York Offers NYC Medicare Advantage Plus Medicare Advantage OptionMedicaidAugust 31, 2021
Keep up with Medicaid news - September 2021- Clinical Criteria Updates Notification May 2021
- Iron Infusion Step Therapy
- Iron Infusion Prior Authorization Update
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