Provider Alerts -
Coding -
Policy, Billing, or Coverage Update -
2023
Acceptable Procedure Code/Modifier Combinations
Effective Sept. 1, 2023, Healthfirst is updating internal systems to deny procedure code/modifier combinations that are specifically flagged as invalid or inactive. These changes are based on New York State Medicaid (NYSM), American Medical Association (AMA), and Centers for Medicare & Medicaid Services (CMS) guidelines.
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