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Provider Alerts - Quality Program Resources - General Update - 2022
Celebrating Top Performers from the 2020 Healthfirst Quality Incentive Program (HQIP)

Thank you to all our providers for your hard work in the Healthfirst Quality Incentive Program. We would like to recognize the top performers from the 2020 HQIP for achieving the highest overall quality ratings among their peers.

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HQIP
  
Provider Alerts - Claims & Billing - Coronavirus (COVID-19) - Policy, Billing, or Coverage Update - 2021
Coronavirus: Type (COVID-19) — Cost-Sharing Waiver

Please be advised that the New York State Department of Financial Services, the New York State Department of Health, and the federal government have directed Healthfirst to waive patient copayments, coinsurance, and deductibles for certain testing and treatment due to the coronavirus (COVID-19) emergency.

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COVID-19
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2021
Healthfirst Reimbursement Policy Updates Effective September 1, 2021

Healthfirst aims to ensure that our reimbursement policy standards are up to date and are compliant with state and national industry standards. Effective September 1, 2021, several changes will be made to our reimbursement policy to maintain compliance with industry-accepted coding and reimbursement practices as well as state and national regulatory requirements.

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Reimbursement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2020
Authorization Requirement Update for Echocardiography Services
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Authorization
  
Provider Alerts - Policy, Billing, or Coverage Update - 2020
Recovery Coordination Agency (RCA
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HARP Health And Recovery Plan
  
Provider Alerts - Practice Guidelines and Tips - 2022
Proper Use of Modifier "-25"
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Reimbursement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2020
Removal of Impacted Cerumen
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Reimbursement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2020
Healthfirst Reimbursement Policies for Nurse Practitioners and Physician Assistants
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Reimbursement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2020
Healthfirst Reimbursement Policy for Elective Deliveries
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Reimbursement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2020
New Prior Authorization Requirement for Select Pathology Codes
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Authorization
  
Provider Alerts - Practice Guidelines and Tips - 2020
Coding for Risk Adjustment

Create January 2019

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Clinical Documentation Improvement
  
Provider Alerts - Practice Guidelines and Tips - 2020
Documentation and Coding Tips: Cancer

Created December 2019

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Clinical Documentation Improvement
  
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