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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
  
Education Events & Patient Care Resources - Plans & Benefits - Quality Program Resources - Provider Resources - 2024
2024 Special Needs Plan (SNP) Model of Care (MOC) Provider Training

This presentation will help educate providers, delegated vendors, and appropriate staff on the Healthfirst Special Needs Plan (SNP) Model of Care (MOC), the goal of which is to enhance member health outcomes through the use of an integrated care delivery system.

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Special Needs Plan
  
Provider Alerts - Provider Resources - 2022
Healthfirst Connection Plan (HMO D-SNP) Announcement

Starting Jan. 1, 2024, Healthfirst will begin covering members in Healthfirst Connection Plan (HMO D-SNP), our newest Medicare Advantage Dual-Eligible Special Needs Plan. Read the Provider Alert for more details...

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Healthfirst Plans
  
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