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Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Specified Heart Arrhythmia, 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, specifically for common types of Specified Heart Arrhythmia.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Patient Care Resources - Practice Guidelines and Tips - 2024
Panel 1 Presentation: Adolescent Sexual and Reproductive Health – A Trauma Informed Approach

(Panel 1 presentation book) Adolescent Sexual and Reproductive Health – A Trauma Informed Approach. This event is being jointly provided by Healthfirst and the Mount Sinai Adolescent Health Center.

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2024
Panel 2 Presentation: Adolescent Sexual and Reproductive Health – A Trauma Informed Approach

(Panel 2 presentation book) Adolescent Sexual and Reproductive Health – A Trauma Informed Approach. This event is being jointly provided by Healthfirst and the Mount Sinai Adolescent Health Center.

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2024
Panel 3 Presentation: Adolescent Sexual and Reproductive Health – A Trauma Informed Approach

(Panel 3 presentation book) Adolescent Sexual and Reproductive Health – A Trauma Informed Approach. This event is being jointly provided by Healthfirst and the Mount Sinai Adolescent Health Center.

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Provider Events
  
Provider Alerts - Provider Resources - 2024
Public Health Emergency (PHE) Flexibilities Related to the Medicaid Children’s Waiver and Health Home Services

The New York State Department of Health (NYSDOH) has issued guidance on Public Health Emergency (PHE) flexibilities. This includes important end dates for these flexibilities that providers you should be aware of. Although many emergency flexibilities expired with the official end of the COVID-19 PHE, others have an end date specified by New York State or a maximum period set by the federal government. Find details on all PHE flexibilities here...

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COVID-19
  
Patient Care Resources - Practice Guidelines and Tips - 2024
Adolescent Sexual and Reproductive Health – A Trauma Informed Approach

Event booklet for Virtual Continuing Medical Education (CME) Conference on June 13, 2024: Adolescent Sexual and Reproductive Health – A Trauma Informed Approach. This event is being jointly provided by Healthfirst and the Mount Sinai Adolescent Health Center. Physicians and other allied health professionals are invited to learn the most up-to-date information and tools to care for adolescent health with a trauma informed approach.

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Provider Events
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Chronic Obstructive Pulmonary Disease, 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 Chronic Obstructive Pulmonary Disease (COPD).

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Pancreatic Cancer, 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 Pancreatic Cancer.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2024
Reimbursement Policy: PO-RE-107 Point of Care Ultrasound

This document describes the policy Healthfirst follows for Point of Care Ultrasound (PoCUS). This policy is executed pursuant to applicable provisions set forth in the contracts for the products indicated above, Articles 44 and 49 of the New York State (NYS) Public Health Law (PBH), as well as applicable Federal and State statutes and regulations.

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Reimbursement Policy
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Angina, 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 Angina.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Peripheral Vascular Disease, 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 Peripheral Vascular Disease.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2024
Reimbursement Policy: PO-RE-106 e-Consult Visits

This document describes the e-Consult visit policy Healthfirst Utilization Management follows when reimbursing for services provided by contracted providers.

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Reimbursement Policy