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Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2024
Reimbursement Policy: PO-RE-104 Principal and Chronic Care Management

This policy outlines Healthfirst reimbursement guidelines for Principal and Chronic Care Management (PCM and CCM) services in an outpatient setting.

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

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Outpatient Evaluation and Management Services

This tip sheet is intended to assist providers and coding staff with the documentation, Current Procedural Terminology (CPT) Codes and ICD-10-CM selection on services submitted to Healthfirst—specifically for Outpatient Evaluation and Management Services.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Cirrhosis of Liver, 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 Cirrhosis of Liver.

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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
  
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
  
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: 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
  
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
  
Education Events & 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
  
Education 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
  
Education 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.

Open document
Provider Events
  
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