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Claims & Billing - Practice Guidelines and Tips - 2020
Medicaid Smoking Cessation Benefit Reimbursement FAQs
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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
  
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