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Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Authorization Requirements for Additional Physical and Occupational Therapy Visits for New Conditions or Body Parts

Providers are reminded that when submitting an authorization request for an existing patient to treat a new condition or body part, the submission will be considered a new prior authorization request.

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Administration
Authorization
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2025
Reimbursement Policy: PO-RE-074 Remote Patient Monitoring and Remote Therapeutic Monitoring

The purpose of this policy is to outline the reimbursement guidelines for Remote Patient Monitoring (RPM) services and Remote Therapeutic Monitoring (RTM) services offered by Healthfirst.

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Reimbursement Policy
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Chronic Hepatitis

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 Chronic Hepatitis.

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Vascular Dementia

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 vascular dementia.

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Schizophrenia

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 Schizophrenia.

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Pyogenic Arthritis

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 Pyogenic Arthritis.

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Ovarian Cancer

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

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Leukemia

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 Leukemia.

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
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
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Chronic Kidney Disease

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

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Bipolar Disorder

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 Bipolar Disorder.

Open document
Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Severe Sepsis

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 severe sepsis.

Open document
Clinical Documentation Improvement
  
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