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Education Events & Patient Care Resources - Practice Guidelines and Tips - 2020
Vaccine Schedules For You and Your Family

Stay up to date on getting recommended vaccines for you and your family.

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Vaccines
  
Provider Alerts - Practice Guidelines and Tips - 2024
Healthfirst’s Eligibility Search Tool Will Fully Transition to Availity

Starting October 1, 2024, Healthfirst’s Eligibility Search tool will be accessible only through Availity Essentials. Access to the Eligibility Search tool via HFproviderportal.org will end after September 30, 2024, and providers will be redirected to log into Availity Essentials.

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Administration
  
Quality Program Resources - Practice Guidelines and Tips - 2024
Estimated Influenza Illnesses, Medical visits, Hospitalizations, and Deaths in the United States

Each year CDC estimates the burden of influenza in the U.S. CDC uses modeling to estimate the number of flu illnesses, medical visits, hospitalizations, and deaths related to flu that occurred in a given season.

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Vaccines
  
Documentation & Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Social Determinants of Health

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection of services submitted to Healthfirst—specifically for Social Determinants of Health.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Coma, CMS-HCC_V28 Model Updates

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection, along with the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) Version 28 Model Updates, on services submitted to Healthfirst—specifically for Coma.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2020
Institute for Healthcare Improvement
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Documentation
  
Documentation & Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: Coagulation Disorders, CMS-HCC_V28 Model Updates

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection, along with the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) Version 28 Model Updates, on services submitted to Healthfirst—specifically for common types of Coagulation Disorders.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Documentation & Coding - Practice Guidelines and Tips - 2024
Documentation and Coding: 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 Malignant Neoplasm.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Unstable Angina

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 Unstable Angina.

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Clinical Documentation Improvement
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-088v1 National Drug Code Billing Requirements

This policy describes the National Drug Code (NDC) information that is required on professional and outpatient facility drug claims that are reported for reimbursement.

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Reimbursement Policy
  
Documentation & Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Respiratory Failure, CMS-HCC_V28 Model Updates

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection, along with the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) Version 28 Model Updates, on services submitted to Healthfirst—specifically for Respiratory Failure.

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CMS-HCC_V28 Model Updates
Clinical Documentation Improvement
  
Provider Alerts - Coronavirus (COVID-19) - Practice Guidelines and Tips - 2023
Medicaid Members Under Age 19 are Eligible for the Vaccines for Children Program

Children under age 19 can receive the COVID‑19 vaccine at Vaccines for Children (VFC)‑enrolled providers, including their practitioner’s office, public health clinics, most county health departments, and any Medicaid‑ or VFC‑enrolled pharmacy.

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Medicaid
  
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