Healthfirst for Providers

Provider Home / Provider Resources

Showing 11-20 of 70

Coding (Practice Guidelines and Tips) - 2021
Documentation and Coding: Prostate Cancer

This tip sheet will offer guidance on how to submit diagnosis codes with greater specificity for coding Prostate Cancer. Cancer is a chronic condition that is often coded inaccurately. The prevalence and complexity of cancer and neoplasm coding requires a solid understanding of the ICD-10-CM codes and coding guidelines to ensure accurate code assignment.

Clinical Documentation Improvement

Documentation and Coding: Prostate Cancer

Coding (Practice Guidelines and Tips) - 2021
Documentation and Coding: Pulmonary Embolism

This tip sheet will offer guidance on how to submit diagnosis codes with greater specificity for coding pulmonary embolism. Pulmonary embolism may be an Acute event or Chronic Condition, not based on timeframe, but on Provider documentation. It is classified based on the type of embolus, which includes septic, saddle, or other or unspecified type.

Clinical Documentation Improvement

Documentation and Coding: Pulmonary Embolism

Coding (Policy, Billing, or Coverage Update) - 2021
Medical Record Requests for the HHS Risk Adjustment Data Validation Program (HHS-RADV)

On behalf of the Secretary of the Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) is responsible for annually validating the accuracy of risk adjustment data submitted by a health insurance company with risk adjustment covered plans in the individual and small group health insurance markets through the validation of medical records for States where HHS operates the risk adjustment program.1 This process is known as the HHS-operated Risk Adjustment Data Validation (HHS-RADV) program.

Risk Adjustment Data Validation Audit

Medical Record Requests for the HHS Risk Adjustment Data Validation Program (HHS-RADV)

Coding (Policy, Billing, or Coverage Update) - 2021
Documentation and Coding: Malignant Neoplasm

Documentation and coding of neoplasms has been a source of countless errors, including incorrect assignment of the morphology of the diagnosis and active cancer versus historical cancer. Accurate coding will provide a true clinical picture of the patient’s health.

Clinical Documentation Improvement

Documentation and Coding: Malignant Neoplasm

Coding (Policy, Billing, or Coverage Update) - 2021
Documentation and Coding: Cerebrovascular Disease

Codes in this category describe the type of stroke and the sequelae (late effects) caused by the stroke. Documentation should clearly state whether a neurological deficit is directly related to cerebrovascular disease or a cerebrovascular accident. Ensure that all diagnoses reported are supported by the MEAT (Monitoring, Evaluating, Assessing, Treating) concept.

Clinical Documentation Improvement

Documentation and Coding: Cerebrovascular Disease

Coding (Practice Guidelines and Tips) - 2018
Rheumatoid Arthritis ICD-10-CM Diagnosis Codes

Click view details.

HEDIS

Arthritis & Pain Management

Rheumatoid Arthritis ICD-10-CM Diagnosis Codes

Coding (Policy, Billing, or Coverage Update) - 2021
Coding for UroCuff

Healthfirst requires specific coding to bill for the use of the UroCuff. This applies to all Healthfirst providers for all Healthfirst products.

Coding for UroCuff

Coding (Policy, Billing, or Coverage Update) - 2021
COVID-19 Coding Update for CPT 99072

Healthfirst aims to ensure that our reimbursement policy standards are up to date and compliant with state and national industry standards. Effective immediately, Healthfirst will not reimburse for CPT code 99072.

COVID-19

COVID-19 Coding Update for CPT 99072

Coding (Policy, Billing, or Coverage Update) - 2021
Documentation and Coding: CVA with Sequelae

Codes in this category describe the type of stroke and the sequelae (late effects) caused by the stroke. Documentation should clearly state whether a neurological deficit is directly related to cerebrovascular disease or a cerebrovascular accident.

Clinical Documentation Improvement

Documentation and Coding: CVA with Sequelae

Coding (Practice Guidelines and Tips) - 2021
Documentation and Coding: Angina

This tip sheet will offer guidance on how to submit diagnosis codes with greater specificity for coding Angina.

Clinical Documentation Improvement

1766 20 Documentation and Coding Guide Angina v7

<

1

2

3

4

5

6

7

>