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Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Chronic Obstructive Pulmonary Disease, CMS-HCC_V28 Model Updates

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection, along with the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) Version 28 Model Updates, on services submitted to Healthfirst—specifically for Chronic Obstructive Pulmonary Disease (COPD).

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Specified Heart Arrhythmia, CMS-HCC_V28 Model Updates

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection, along with the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) Version 28 Model Updates, specifically for common types of Specified Heart Arrhythmia.

Open document
Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Coding - Practice Guidelines and Tips - 2024
Medical Record Requests for the HHS-operated Risk Adjustment Data Validation (HHS-RADV) Audit

The current HHS-RADV audit pertains to services provided during the 2023 calendar year. The requesting entity has determined that one or more of your patients are included in the HHS-RADV audit sample for services rendered during 2023. Because 2023 HHS-RADV medical record review is time sensitive, your immediate attention to this request is appreciated.

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Risk Adjustment Data Validation Audit
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Major Depressive Disorder, CMS-HCC_V28 Model Updates

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection, along with the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) Version 28 Model Updates, on services submitted to Healthfirst—specifically for Major Depressive Disorder.

Open document
Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Seizure Disorders and Convulsions, CMS-HCC_V28 Model Updates

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection, along with the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) Version 28 Model Updates, on services submitted to Healthfirst—specifically for common types of Seizure Disorders and Convulsions.

Open document
Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Heart Failure

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection on services submitted to Healthfirst specifically for coding heart failure. It provides information from industry sources about proper coding practice.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Do's and Don'ts of Documentation

This tip sheet is intended to assist providers and coding staff with proper coding practice.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Multiple Sclerosis

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection on services submitted to Healthfirst—specifically for multiple sclerosis (MS).

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Inflammatory Bowel Disease

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection on services submitted to Healthfirst—specifically for inflammatory bowel disease (IBD).

Open document
Clinical Documentation Improvement
  
Provider Alerts - Coding - Claims & Billing - Policy, Billing, or Coverage Update - 2022
Coding Instructions for Co-Surgeons and Team Surgeons

Healthfirst follows the Centers for Medicare & Medicaid Services (CMS) guidance for the use of co-surgeon (-62) and team surgeon (-66) modifiers with claim submissions.

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Billing
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Alcohol Disorders

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection on services submitted to Healthfirst—specifically for alcohol disorders.

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Human Immunodeficiency Virus (HIV/AIDS)

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection on services submitted to Healthfirst—specifically for common types of HIV/AIDS.

Open document
Clinical Documentation Improvement
  
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