HF Logo HF Logo Provider Portal Login
Provider Home

Search

Resource Type
Clear All
Filter
Year
Sort By
Showing 13-24 of 770
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-077v1 Photochemotherapy

Effective September 1, 2023, consistent with the American Academy of Dermatology Association and New York State, Healthfirst will update our policy regarding covered diagnoses for photochemotherapy treatment.

Open document
Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
Reimbursement Policy: PO-RE-075 Laboratory Procedures

To be considered for reimbursement, all outpatient laboratory claims should be submitted in accordance with: -AMA CPT and HCPCS coding and ICD-10 diagnosis coding guidelines -Other laboratory and pathology coding guidelines -All applicable regulatory guidelines

Open document
Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
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.

Open document
Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2025
Reimbursement Policy: PO-RE-140 Electromyography and Nerve Conduction Studies

This policy outlines the guidelines for reimbursing Electromyography (EMG) and Nerve Conduction Studies (NCS) performed to diagnose, evaluate, or manage peripheral nerve and neuromuscular disorders.

Open document
Reimbursement Policy
  
Documentation & Coding - Video - 2026
Video - Documentation and Coding of Morbid Obesity

This video offers guidance on proper clinical documentation and coding of Morbid Obesity

View Post
Clinical Documentation Improvement
Video
  
Documentation & Coding - Video - 2025
Video - Documentation and Coding of Human Immunodeficiency Virus (HIV)

This video offers guidance on proper clinical documentation and coding of Human Immunodeficiency Virus (HIV)

View Post
Clinical Documentation Improvement
Video
  
Documentation & Coding - Video - 2025
Video - Documentation and Coding of Hepatitis C

This video offers guidance on proper clinical documentation and coding of Hepatitis C

View Post
Clinical Documentation Improvement
Video
  
Documentation & Coding - Video - 2026
Video - Documentation and Coding of Chronic Obstructive Pulmonary Disease (COPD)

This video offers guidance on proper clinical documentation and coding of Chronic Obstructive Pulmonary Disease (COPD)

View Post
Clinical Documentation Improvement
Video
  
Documentation & Coding - Video - 2026
Video - Documentation and Coding of Angina

This video offers guidance on proper clinical documentation and coding of Angina

View Post
Clinical Documentation Improvement
Video
  
Provider Alerts - Claims & Billing - Practice Guidelines and Tips - 2026
Interoperability and Prior Authorization Final Rule Requirements

Healthfirst is updating prior authorization and concurrent review decision timeframes to comply with the CMS Interoperability and Prior Authorization Final Rule. Effective January 1, 2026, standard authorization decisions for applicable Medicaid and Medicare lines of businesses.

View Post
Administration
Healthfirst Plans
Medicaid
Medicare
  
Documentation & Coding - Practice Guidelines and Tips - 2026
Documentation and Coding: Bone Marrow Transplant (BMT)

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 Bone Marrow Transplant (BMT).

Open document
Clinical Documentation Improvement
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
Reimbursement Policy: PO-RE-168 NYS Medicaid Breast Cancer Selective Program

This reimbursement policy outlines Healthfirst requirements for provider eligibility and claim reimbursement under the New York State (NYS) Medicaid Breast Cancer Selective Program.

Open document
Reimbursement Policy
  
You are now navigating away from the Healthfirst website.

Links to non-Healthfirst websites are provided for your convenience only. Healthfirst is not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.