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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
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
Promoting Health Equity - A Resource to Help Communities Address Social Determinants of Health

This workbook is for public health practitioners and partners interested in addressing social determinants of health in order to promote health and achieve health equity

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Social Determinants of Health
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
AAFP Guide to Social Needs Screening

For the medical community to have a significant and lasting impact on the health of their patients and communities, it must address the needs of patients outside the clinic walls. Effectively implementing programs to identify and attend to these social factors depends on the specific needs of the patient population, the ability of the practice to assess these needs, and the availability of community resources.

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Social Determinants of Health
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2022
CMS Health-Related Social Needs Screening Tool

The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) made the Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool to use in the AHC Model.

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Social Determinants of Health
  
Provider Alerts - Coronavirus (COVID-19) - Policy, Billing, or Coverage Update - 2022
2022 Seasonal Influenza Vaccine Codes

These CPT influenza vaccine codes reflect updates to the recommendations on the use of seasonal influenza vaccines in the United States from the Advisory Committee on Immunization Practices (ACIP).

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Vaccine Codes
  
Education Events & Patient Care Resources - Quality Program Resources - Patient Resource - 2022
Help Your Patients Fight the Flu

Helpful guidance from Healthfirst and the CDC for making a strong flu shot recommendation to help patients make an informed health decision.

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Seasonal Flu