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Provider Alerts - Claims & Billing - Pharmacy Resources & Formularies - Provider Resources - 2023
Reimbursement Update for SPRAVATO

This notice is to inform providers about reimbursement updates for billing or submitting claims for the SPRAVATO medication.

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Billing
  
Provider Alerts - Quality Program Resources - Practice Guidelines and Tips - 2022
Redesigned Healthfirst Quality App

The redesigned Quality App is here! The improved tool helps you quickly identify areas of opportunity in the Healthfirst Quality Incentive Program (HQIP) and offers more insight into your performance trends.

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HQIP
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
Fifth Annual World Health Continuing Medical Education Conference (booklet for Sept 9, 2022)

(Booklet for Sept 9, 2022) This Continuing Medical Education activity is designed to update primary care and specialty practices on the evolving strategies for implementing evidence-based medicine to meet the needs of local, regional, and global communities. The intent is to inform the attendees on innovations in treating special patient populations, with a focus on Caribbean communities.

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
Fifth Annual World Health Continuing Medical Education Conference (booklet for Sept 10, 2022)

(Booklet for Sept 10, 2022) This Continuing Medical Education activity is designed to update primary care and specialty practices on the evolving strategies for implementing evidence-based medicine to meet the needs of local, regional, and global communities. The intent is to inform the attendees on innovations in treating special patient populations, with a focus on Caribbean communities.

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Provider Events
  
Education Events & Patient Care Resources - Patient Resource - 2022
0978 22 2022 Flu Shot Campaign Providers FAQ Flyer v3wr FINAL

Answers to frequently asked questions regarding the seasonal flu vaccine.

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Annual Flu Vaccine
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2022
0996 22 Auth for Vision Svcs Provider Alert v7 FINAL

Effective August 1, 2022, Healthfirst no longer requires authorization for the selected vision services listed in this Provider Alert.

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Authorization
  
Provider Alerts - Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
Continuous Glucose Monitors for Diabetes Management

Healthfirst aims to enhance A1c control management, improve treatment outcomes, and prevent disease progression. We achieve these goals by first identifying Healthfirst plan members with Type 2 diabetes who are potentially eligible for a Continuous Glucose Monitor (CGM), after which we coordinate their care with providers to prevent future complications.

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HF Cares
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
Advancing Community Health and Well-being by Addressing Inequity in the Practice of Medicine (Agenda and Faculty booklet)

(Agenda and Faculty information) The October 6, 2022 Continuing Medical Education activity is designed to update primary care and specialty practices on the evolving strategies for implementing value-based care, new primary care practice models, and evidence-based medicine to meet the needs of communities ravaged by the COVID-19 pandemic. The intent is to inform attendees on best practices and innovations in addressing racial equity and the needs of special patient populations.

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
Advancing Community Health and Well-being by Addressing Inequity in the Practice of Medicine (booklet for PM session, Oct 6, 2022)

(Booklet for PM session, Oct 6, 2022) The Continuing Medical Education activity is designed to update primary care and specialty practices on the evolving strategies for implementing value-based care, new primary care practice models, and evidence-based medicine to meet the needs of communities ravaged by the COVID-19 pandemic. The intent is to inform attendees on best practices and innovations in addressing racial equity and the needs of special patient populations.

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
Advancing Community Health and Well-being by Addressing Inequity in the Practice of Medicine (booklet for AM session, Oct 6, 2022)

(Booklet for AM session, Oct 6, 2022) The Continuing Medical Education activity is designed to update primary care and specialty practices on the evolving strategies for implementing value-based care, new primary care practice models, and evidence-based medicine to meet the needs of communities ravaged by the COVID-19 pandemic. The intent is to inform attendees on best practices and innovations in addressing racial equity and the needs of special patient populations.

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Provider Events
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Chronic Pancreatitis

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 Chronic Pancreatitis.

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Clinical Documentation Improvement
  
Education Events & Patient Care Resources - Coronavirus (COVID-19) - Practice Guidelines and Tips - 2022
The Flu and COVID-19 Frequently Asked Questions

Now that flu season is approaching, it's important to remember that the COVID-19 pandemic is still continuing around the world.

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Seasonal Flu
  
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