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Behavioral Health and Foster Care - Practice Guidelines and Tips - 2022
FAQ for Behavioral Health Benefits Carve-In to Medicaid Advantage Plus (MAP)

View for frequently asked questions to Behavioral Health providers regarding the transition of Behavioral Health services into MAP plans.

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Behavioral Health
  
Patient Care Resources - Practice Guidelines and Tips - 2022
Healthfirst 2022 Fall Symposium (Panel 2 booklet)

(Panel 2 booklet) The theme for the Nov. 18, 2022, Healthfirst Fall Symposium is Perspectives on Racism, Disparities, and Health Equity: Advancing Solutions. Guest speakers will highlight forward-looking initiatives in addressing health inequities in the treatment and care of Healthfirst members, practices, and communities who have been adversely impacted by disparities in health and social determinants.

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2022
Healthfirst 2022 Fall Symposium (Panel 1 booklet)

(Panel 1 booklet) The theme for the Nov. 18, 2022, Healthfirst Fall Symposium is Perspectives on Racism, Disparities, and Health Equity: Advancing Solutions. Guest speakers will highlight forward-looking initiatives in addressing health inequities in the treatment and care of Healthfirst members, practices, and communities who have been adversely impacted by disparities in health and social determinants.

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Provider Events
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Multiple Myeloma

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 myeloma.

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Clinical Documentation Improvement
  
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
  
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
  
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
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Lung 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 common types of lung cancer.

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Clinical Documentation Improvement
  
Plans & Benefits - Practice Guidelines and Tips - 2023
Healthfirst Member ID Cards

View Healthfirst Member ID Cards at a glance.

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At a Glance
  
Claims & Billing - General Update - 2023
eviCore Medical Oncology Frequently Asked Questions

See answers to frequently asked questions about eviCore healthcare’s medical oncology program.

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Prior Authorization
  
Coding - Practice Guidelines and Tips - 2022
Documentation and Coding: Diabetes Mellitus

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 diabetes mellitus.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Severe Sepsis

This tip sheet will offer guidance on how to submit a diagnosis code with greater specificity for coding Severe Sepsis. Two codes, at a minimum, are needed to report severe sepsis without septic shock. Chapter‑specific guidelines state, “First code for the underlying systemic infection, followed by a code R65.20, Severe sepsis. If the causal organism is not documented, assign code A41.9, Sepsis, unspecified organism, for the infection. Additional code(s) for the associated acute organ dysfunction are also required.”

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Clinical Documentation Improvement
  
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