CommercialSeptember 1, 2021

September 2021 Newsletter

Administrative

AdministrativeCommercialAugust 31, 2021

Register now for our September CME webinars!

AdministrativeCommercialAugust 31, 2021

National Accounts 2022 Pre-certification list

AdministrativeCommercialAugust 31, 2021

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics

AdministrativeCommercialAugust 31, 2021

6 SIMPLE strategies to help increase medication adherence

AdministrativeCommercialAugust 31, 2021

Statin therapy for patients with diabetes
Achieve 90% patient statin therapy adherence with a personalized approach

Digital SolutionsCommercialAugust 31, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers - replacing CAQH Enrollhub effective November 1, 2021.

Policy Updates

Reimbursement PoliciesCommercialAugust 31, 2021

Reimbursement policy update: Sexually Transmitted Infections Testing (Professional)

Material adverse change (MAC) notification

Reimbursement PoliciesCommercialAugust 31, 2021

Reimbursement policy reminder Professional Anesthesia Services (Professional)

Reimbursement PoliciesCommercialAugust 31, 2021

Reimbursement policy update: Drug Screen Testing (Professional)
Material adverse change (MAC) notification

Products & Programs

Federal Employee Program (FEP)CommercialAugust 31, 2021

Federal Employee Program® AIM Radiology prior authorization review transition delayed until November

Material adverse change (MAC) notification

PharmacyCommercialAugust 31, 2021

Clinical Criteria updates for specialty pharmacy
Material adverse change (MAC) notification

PharmacyCommercialAugust 31, 2021

Updates for specialty pharmacy are available - September 2021

Material adverse change (MAC) notification

State & Federal

State & FederalMedicare AdvantageAugust 31, 2021

Keep up with Medicare news - September 2021
View this Medicare article:

  • Clinical Criteria Updates Notification May 2021

State & FederalMedicare AdvantageAugust 31, 2021

Prior authorization/Precertification form notification

State & FederalMedicare AdvantageAugust 31, 2021

Utilization management authorization rule operations

State & FederalMedicare AdvantageAugust 31, 2021

City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option

State & FederalMedicaidAugust 31, 2021

Keep up with Medicaid news - September 2021
View these Medicaid article: 
  • Clinical Criteria Updates Notification May 2021
  • Iron Infusion Step Therapy
  • Iron Infusion Prior Authorization Update