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Coding - Policy, Billing, or Coverage Update - 2021
Documentation and Coding: Medical Decision Making (MDM)

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

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2021
1765 20 Documentation and Coding Guide Anemia v5 FINAL

This tip sheet will offer guidance on how to submit diagnosis codes with greater specificity for coding Anemia Associated with Malignancy, Chemotherapy, or Immunotherapy. Created February 2021.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2021
Documentation and Coding: Prostate Cancer

This tip sheet will offer guidance on how to submit diagnosis codes with greater specificity for coding Prostate Cancer. Cancer is a chronic condition that is often coded inaccurately. The prevalence and complexity of cancer and neoplasm coding requires a solid understanding of the ICD-10-CM codes and coding guidelines to ensure accurate code assignment.

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Clinical Documentation Improvement
  
Coding - Policy, Billing, or Coverage Update - 2021
Documentation and Coding: Cerebrovascular Disease

Codes in this category describe the type of stroke and the sequelae (late effects) caused by the stroke. Documentation should clearly state whether a neurological deficit is directly related to cerebrovascular disease or a cerebrovascular accident. Ensure that all diagnoses reported are supported by the MEAT (Monitoring, Evaluating, Assessing, Treating) concept.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2021
Documentation and Coding: Chronic Kidney Disease

This tip sheet will offer guidance on how to submit diagnosis codes with greater specificity for coding Chronic Kidney Disease classified based on severity, by stages 1–5 and End Stage Renal Disease.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2021
Documentation and Coding: Atrial Fibrillation

At Healthfirst, we are committed to helping providers accurately document and code their patients’ health records. This tip sheet will offer guidance on how to submit diagnosis code with greater specificity for coding atrial fibrillation (AFib).

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Clinical Documentation Improvement
  
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