Virginia
Provider Communications
Articles Recent
| Title | Publication | Category | Date |
|---|---|---|---|
New state legislation prompts changes for reimbursement of physician services during credentialing process |
N/A | N/A | Aug 7, 2018 |
Shae's Test Guideline Update - Not registered on the Availity Portal yet?Visit www.availity.com to register today. If you already use Availity, no additional registration is needed. Empire will appear as one of your options in the payer drop-down lists. |
3/20 VA Test | Guideline Updates | Mar 20, 2018 |
Shae's Test Coverage and Clinical GuidelinesEffective for dates of service on and after May 1, 2018, the following specialty pharmacy codes from new or current medical policies or clinical UM guidelines will be included in our existing prior authorization review process. |
3/20 VA Test | Coverage and Clinical Guidelines | Mar 20, 2018 |
Shae's Test - Reimbursement PoliciesEffective for dates of service on and after May 1, 2018, intra-articular injections of hyaluronan for the treatment of pain due to reducing and non-reducing disc displacement disease of temporomandibular joint disorders, are considered investigational and not medically necessary. No prior authorization for these agents will be required, but rather reviewed post-service. |
3/20 VA Test | Reimbursement Policies | Mar 20, 2018 |
Shae's Test Featured Article - Medicare AdvantageImprove member medication regimen Empire and the Centers for Medicare & Medicaid Services consider medication review and reconciliation a top priority to help ensure members take their medications safely. Our pharmacists use medication review and reconciliation to help members understand what medications they are taking, why they are taking them, how they should be taking their medication and to answer any questions or concerns they have about their medication regimen. |
Shae's Test Publication 2018 VA | Administrative | Feb 22, 2018 |
Shae's Test Empire’s Electronic Tools and Resources Migrating to the Availity PortalBeginning March 16, 2018 the Empire BlueCross BlueShield (“Empire”) secure provider facility and professional portals are transitioning a majority of online tools and resources to the Availity Portal (www.availity.com). At that time, Availity will be your exclusive secure web portal to access these important Empire electronic tools and resources. |
Shae's Test Publication 2018 VA | Administrative | Feb 22, 2018 |
Shae's Test Guideline Update - Not registered on the Availity Portal yet?Visit www.availity.com to register today. If you already use Availity, no additional registration is needed. Empire will appear as one of your options in the payer drop-down lists. |
Shae's Test Publication 2018 VA | Guideline Updates | Feb 22, 2018 |
Shae's Test Coverage and Clinical GuidelinesEffective for dates of service on and after May 1, 2018, the following specialty pharmacy codes from new or current medical policies or clinical UM guidelines will be included in our existing prior authorization review process. |
Shae's Test Publication 2018 VA | Coverage and Clinical Guidelines | Feb 22, 2018 |
Shae's Test - Reimbursement PoliciesEffective for dates of service on and after May 1, 2018, intra-articular injections of hyaluronan for the treatment of pain due to reducing and non-reducing disc displacement disease of temporomandibular joint disorders, are considered investigational and not medically necessary. No prior authorization for these agents will be required, but rather reviewed post-service. |
Shae's Test Publication 2018 VA | Reimbursement Policies | Feb 22, 2018 |
Shae's Test - Products and Programs - Empire expands specialty pharmacy prior authorization listEffective for dates of service on and after May 1, 2018, the following specialty pharmacy codes from new or current medical policies or clinical UM guidelines will be included in our existing prior authorization review process. |
Shae's Test Publication 2018 VA | Products & Programs | Feb 22, 2018 |
Shae's Test - P&P Behavioral Health - Hyaluronan Injections in joints other than the Knee (DRUG.00017)Medical policy DRUG.00017 addresses the use of injections of hyaluronan in joints other than the knee, including osteoarthritis and temporomandibular joint disease. This therapy may also be referred to as viscosupplementation. |
Shae's Test Publication 2018 VA | Behavioral Health | Feb 22, 2018 |
Shae's Test - P&P - PharmacyRevised Medical Policy Effective 11-09-2017 |
Shae's Test Publication 2018 VA | Pharmacy | Feb 22, 2018 |
Shae's Test - State and Federal - Medical Policy UpdatesArchived Medical Policies Effective 12-27-2017 (The following policies have been archived and their content has been transferred to new Clinical UM Guidelines.) |
Shae's Test Publication 2018 VA | State & Federal | Feb 22, 2018 |
Shae's Test - S&F - Federal Employee Plan (FEP)Improve member medication regimen |
Shae's Test Publication 2018 VA | Federal Employee Plan (FEP) | Feb 22, 2018 |
Shae's Test - Medicaid - New pharmacy electronic prior authorization request tool effective January 1, 2018Empire BlueCross BlueShield HealthPlus (Empire) has partnered with CoverMyMeds to offer an electronic prior authorization (ePA) request tool that simplifies the process for requesting medications and checking the status of your submissions. |
Shae's Test Publication 2018 VA | Medicaid | Feb 22, 2018 |
Shae's Test - S&F - Medicare - Availability The tool will be available beginning January 1, 2018.These new features help simplify the prior authorization process. You will be able to: |
Shae's Test Publication 2018 VA | Medicare | Feb 22, 2018 |
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