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Documentation & 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.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Documentation & 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
  
Provider Alerts - Documentation & 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
  
Documentation & 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.

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Clinical Documentation Improvement
  
Documentation & 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.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Huntington's 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 Huntington’s disease.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Chronic Pancreatitis

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 Chronic Pancreatitis.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Lung Cancer

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 lung cancer.

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

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 myeloma.

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Clinical Documentation Improvement
  
Documentation & Coding - Policy, Billing, or Coverage Update - 2024
Medicare Hospitals - Medical Record Request for Calendar Year 2022 (CY22) Part C Improper Payment Measure (Part C IPM)

This request is based on diagnosis data submitted to the Centers for Medicare & Medicaid Services (CMS) as a result of services you provided to MA beneficiaries during calendar year 2021 (CY21). The purpose of this request is to validate diagnoses that were sent to CMS to determine health status-adjusted payments under risk adjustment.

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Risk Adjustment Data Validation Audit
  
Documentation & Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Asthma

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 Asthma.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Neoplasm of the Meninges

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 Neoplasm of the Meninges.

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Clinical Documentation Improvement
  
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