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Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Breast Cancer

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 Breast Cancer.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Malignant Neoplasm

Documentation and coding of neoplasms has been a source of countless errors, including incorrect assignment of the morphology of the diagnosis and active cancer versus historical cancer. Accurate coding will provide a true clinical picture of the patient’s health.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Do's and Don'ts of Documentation

This tip sheet is intended to assist providers and coding staff with proper coding practice.

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Clinical Documentation Improvement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2022
Healthfirst Reimbursement of Developmental Screening in Primary Care

Effective April 1, 2022, Healthfirst will begin to reimburse Developmental Screening (CPT 96110) in primary care as per New York State Medicaid guidance.

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Reimbursement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2022
Prior Authorization Waiver Expiration: Post-Acute Discharge

Effective December 31, 2021, Healthfirst has waived authorization requirements for transfers or discharges from an acute inpatient facility to another acute inpatient facility, a skilled nursing facility (SNF), acute rehabilitation facility (AR), or long-term acute care hospital (LTACH).

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Prior Authorization
  
Behavioral Health and Foster Care - Practice Guidelines and Tips - 2022
Children’s Home and Community-Based Services Frequently Asked Questions

Children’s Home and Community-Based Services (HCBS) are for children and youth who need extra care at home/in the community and want to avoid going to the hospital or a long-term facility. Review these important workflow reminders, answers to questions you may have about HCBS, and other helpful resources

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Behavioral Health
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Multiple Sclerosis

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 multiple sclerosis (MS).

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Inflammatory Bowel 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 inflammatory bowel disease (IBD).

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Colorectal and Bladder Cancer

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 colorectal and bladder cancer.

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Clinical Documentation Improvement
  
Behavioral Health and Foster Care - Practice Guidelines and Tips - 2022
CORE Transition: Important Workflow Reminders and FAQs

Effective February 1, 2022, New York State received federal approval to transition four Behavioral Health Home and Community Based Services (BH HCBS) to a new service array called Community Oriented Recovery and Empowerment (CORE) services.

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Behavioral Health
  
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
  
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
  
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