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Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Eighth Annual World Health Continuing Medical Education Conference, Agenda and Faculty Bios

Health Disparities Impacting Global and Local Populations (June 6, 2025)

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Provider Events
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
2025 Medicare Physician Fee Schedule Final Rule

Effective Jan 1, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the 2025 Medicare Physician Fee Schedule Final Rule with key updates impacting Preventive Services for Medicare members.

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Reimbursement
Healthfirst Plans
Administration
Authorization
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Prior Authorization Requirements for Drugs, Supplies, and Procedures for Sexual Dysfunction or Erectile Dysfunction

In accordance with Chapter 645 of the Laws of 2005, the New York State (NYS) Medicaid program does not cover prescription or physician-administered drugs used for the treatment of sexual dysfunction (SD) or erectile dysfunction (ED).

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Reimbursement
Healthfirst Plans
Administration
Authorization
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Prior Authorization Guidelines for Select Remote Patient and Remote Therapeutic Monitoring Services

Prior Authorization Guidelines for Select Remote Patient (RPM) and Remote Therapeutic Monitoring (RTM) Services Effective September 1, 2025

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Reimbursement
Healthfirst Plans
Administration
Authorization
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series Session 1

OIG Targeted High Risk Condition Series Session 1: Heart Failure, Chronic Kidney Disease (CKD), Hypertension (HTN) (February 6, 2025)

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series, Session 2

OIG Targeted High Risk Condition Series, Session 2: Heart Failure, AFIB, Angina - Part 2 (March 6, 2025)

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series, Session 3

Book for OIG Targeted High Risk Condition Series, Session 3: Major Depression Disorder, Anorexia & Bulimia (April 3, 2025)

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series, Session 4

Book for OIG Targeted High Risk Condition Series, Session 4: Pulmonary Embolism (PE) and Deep Vein Thrombosis (DVT), Hepatitis & Cirrhosis (May 1, 2025)

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Agenda and Faculty Bios booklet - 2025 Spring Provider Symposium

Agenda and Faculty bios booklet for May 16, 2025, Spring Provider Symposium - Evolving Models of Care: Transforming Patient Care Through Lifestyle Management

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Keynote Speaker and Panel 1 booklet - 2025 Spring Provider Symposium

Keynote Speaker and Panel 1 booklet for May 16, 2025, Spring Provider Symposium - Evolving Models of Care: Transforming Patient Care Through Lifestyle Management

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Panel 2 booklet - 2025 Spring Provider Symposium

Panel 2 booklet for May 16, 2025, Spring Provider Symposium - Evolving Models of Care: Transforming Patient Care Through Lifestyle Management

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Provider Events
  
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