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Provider Alerts - Plans & Benefits - Patient Resource - 2023
Provider Alert - 2023 FPL Expansion

Thanks to expanded eligibility, more Medicare beneficiaries will qualify for the Medicare Savings Program (MSP) in 2023.

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Medicare
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Hyperparathyroidism

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 Hyperparathyroidism.

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Clinical Documentation Improvement
  
Provider Alerts - Plans & Benefits - Policy, Billing, or Coverage Update - 2023
Important: Recertifications are Resuming in 2023

New York State will resume eligibility reviews and renewals for members of with a recertification date after June 2023. If your patients do not renew on time, they risk losing health coverage and could face unexpected costs or even a gap in care. This Provider Alert contains instructions on how members can renew their coverage...

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Recertification
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Metastatic Cancer/ Secondary Malignant Neoplasm

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 Metastatic Cancer/Secondary Malignant Neoplasm.

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Clinical Documentation Improvement
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Book 4: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers

(Conference Book 4) Virtual Continuing Medical Education (CME) Conference: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers This event is jointly offered by Healthfirst and SUNY Downstate Health Sciences University.

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Book 3: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers

(Conference Book 3) Virtual Continuing Medical Education (CME) Conference: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers This event is jointly offered by Healthfirst and SUNY Downstate Health Sciences University.

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Book 2: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers

(Conference Book 2) Virtual Continuing Medical Education (CME) Conference: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers This event is jointly offered by Healthfirst and SUNY Downstate Health Sciences University.

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Book 1: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers

(Conference Book 1) Virtual Continuing Medical Education (CME) Conference: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers This event is jointly offered by Healthfirst and SUNY Downstate Health Sciences University.

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Panel 2: Spring 2023 Provider Symposium

(Panel 2 booklet) The theme for the May 19, 2023 Healthfirst Spring Symposium is "Artificial Intelligence in Healthcare: Improving Health Outcomes and Advancing Equity with New Tools."

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Panel 1: Spring 2023 Provider Symposium

(Panel 1 booklet) The theme for the May 19, 2023 Healthfirst Spring Symposium is "Artificial Intelligence in Healthcare: Improving Health Outcomes and Advancing Equity with New Tools."

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Agenda and Keynote: Spring 2023 Provider Symposium

(Agenda and Keynote booklet) The theme for the May 19, 2023 Healthfirst Spring Symposium is "Artificial Intelligence in Healthcare: Improving Health Outcomes and Advancing Equity with New Tools."

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Provider Events
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-071v1 Modifier Usage

Modifiers have been defined by the American Medical Association (AMA) and adopted by the Centers for Medicare and Medicaid Services (CMS) to provide additional information regarding the services rendered.

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Reimbursement Policy