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Changes to Pre-Certification Process for GHI PPO City of New York Employees/Non-Medicare Eligible Retirees with GHI PPO Benefits
2016 Medical Policy Revisions
Health and Recovery Plan (HARP) Enrollment Notices:
What Providers Need to Know
Nassau and Suffolk Counties Transportation Carve-out for Medicaid Managed Care Enrollees Effective December 1, 2015
Submitting a Request for an Expedited Appeal or Reconsideration
Spine Surgery and Pain Management Therapies Program Starts November 16, 2015
Coverage Policy for Helicobacter Pylori
New Reimbursement Rules for Modifier 53
SUMMARY OF MEDICARE BENEFIT & PLAN DESIGN CHANGES FOR 2016
Changes in 2016 EmblemHealth Select Care Network Plans
Provider Compliance with ICD-10
Spine Surgery & Pain Management UM Program Start Delayed
Reminder: Medicaid Provider
Non-Interference
Now Available: Electronic Commercial Coordination of Benefits – Electronic Claims Transactions
Put Your Electronic Medical Records (EMRs) To Work – Simplify Medical Record Submissions
Now Available: New FIDA Provider Training Modules
EmblemHealth Can Accept Electronic Claims Transactions for Commercial Coordination of Benefits
Using Modifier 78 with an Unplanned Return to the Operating Room
Coming Soon — Medicaid Behavioral Health Services/HARP
EmblemHealth Has Reached an Agreement with Emdeon
EmblemHealth Ends EDI Agreement with Emdeon
Obstetrical Providers Reimbursed for Immediate Postpartum Contraception
First Round of FIDA Provider Training Requirements
Help Us Avoid Disruptions in Care for our Medicare PPO Members
EmblemHealth Offers New Select Care Plans for 2015
Summary of Changes to EmblemHealth Medicare, Effective January 1, 2015
Change to EmblemHealth’s Compounded Drug Coverage, Effective November 15, 2014
Change in CPT Codes for Qualitative Drug Screen Testing
Long-Acting Reversible Contraceptives
MRT Compliance C-Section/Early Delivery Billing Update
PNC Remittance Advantage: Electronic Funds Transfer and Remittance Advice (EFT-ERA)
Effective May 1, 2014, Contact EmblemHealth To Obtain Prior Approval of Prescription Drugs for All Plan Members
Legislation Enacted to Increase HIV Testing in New York State
Submit Prior Authorizations/Coverage Determinations with Ease Through PromptPA
Home Care Worker Wage Parity Law Attestations
(Revised May 16, 2014)
Providers of Long Term Services and Supports (LTSS) Must Verify Medicaid Eligibility
Medicaid Redesign Team Change Effective March/April 1, 2014
2013 Regulatory and Plan Compliance Mailing
Complying With Access and Availability Standards
Lactation Consulting Services
Revised Prior Approval List for Networks Effective January 22, 2014