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Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2022
2022 Medicare Advantage Sequestration Reinstatement

Effective April 1, 2022, CMS has reinstituted sequestration reductions to claims payments for Medicare enrollees in accordance with The Protecting Medicare and American Farmers from Sequester Cuts Act.

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Billing
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Human Immunodeficiency Virus (HIV/AIDS)

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 HIV/AIDS.

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Clinical Documentation Improvement
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
Healthfirst 2022 Spring Provider Symposium (video link and program)

Healthfirst’s semi-annual Provider Symposium features the innovative work of practices, health care organizations and industry leaders who care for and serve our members. Watch the Symposium replay at youtube.com/watch?v=P8YTAzYn6hY This Symposium offered a unique opportunity for experts from health care delivery, public health, and the community to share initiatives in the health delivery system for vulnerable patients who are receiving Cancer care across New York. Our speakers highlighted forward-looking initiatives in the treatment of Healthfirst members, practices, and communities affected by difference Cancers through innovative approaches. 

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Provider Events
  
Education Events & Patient Care Resources - Video - 2022
Building the Future We Wish to See (video link and program)

On November 19, 2021, Healthfirst held its semiannual Fall Provider Symposium, "Building the Future We Wish to See: Partnerships for Optimal Medical Outcomes in 2021 and Beyond”. Watch the Symposium replay at youtube.com/watch?v=hsnpscICYY4 Experts from healthcare delivery, public health, and the community shared wellness initiatives in the health delivery system for vulnerable patients with behavioral health, mental health, and substance use disorders. Our speakers highlighted forward-looking research and successes in engaging Healthfirst members, practices, and communities in innovative programs that address the health trajectory of New Yorkers.

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Provider Events
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Huntington's Disease

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 Huntington’s disease.

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Clinical Documentation Improvement
  
Provider Alerts - Pharmacy Resources & Formularies - Claims & Billing - 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
  
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