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Claims & Billing - Practice Guidelines and Tips - 2020
Licensed Home Care Service Agencies (LHCSA) Billing and Authorization Guide
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Authorization
  
Claims & Billing - Practice Guidelines and Tips - 2022
OrthoNet Codes Requiring Authorization
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Authorization
  
Claims & Billing - Policy, Billing, or Coverage Update - 2022
New CMS Modifiers for Distinct Procedural Services (59 Modifier)
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Reimbursement
  
Claims & Billing - Policy, Billing, or Coverage Update - 2021
Institutional Services Split Claims Billing Instructions for Medicare Fee-For-Service (FFS) Claims
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General ICD-10/ICD-11 Information
  
Claims & Billing - General Update - 2023
eviCore Medical Oncology Frequently Asked Questions

See answers to frequently asked questions about eviCore healthcare’s medical oncology program.

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Prior Authorization
  
Claims & Billing - Practice Guidelines and Tips - 2020
Medicaid Smoking Cessation Benefit Reimbursement FAQs
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Smoking Cessation
  
Claims & Billing - Practice Guidelines and Tips - 2020
Smoking Cessation Counseling Benefit Reimbursement Information and Billing Codes
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Smoking Cessation
  
Claims & Billing - Policy, Billing, or Coverage Update - 2021
Policy for Medical Record Documentation Standards

Effective February 1, 2021, consistent with Centers for Medicare & Medicaid Services (CMS) guidelines and the Healthfirst Provider Manual, Healthfirst will require the medical record documentation standards outlined within this document.

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Medical Record Reviews
  
Claims & Billing - Policy, Billing, or Coverage Update - 2021
New CPT® Category III Codes

Healthfirst aims to ensure that our reimbursement policy standards are compliant with state and national industry standards. The American Medical Association (AMA) has released new Category III codes, effective July 1, 2021. As of this date, Healthfirst requires prior authorization for these codes.

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Reimbursement
  
Claims & Billing - Form - 2021
Superior Vision - Medical Authorization Request Form

Please submit authorization forms for different dates of service and individual members as separate requests.

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Authorization
  
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