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Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Asthma

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 Asthma.

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Clinical Documentation Improvement
  
Plans & Benefits - Policy, Billing, or Coverage Update - 2023
Introducing Healthfirst Signature (PPO)

Signature (PPO) is a NEW Healthfirst Medicare Advantage plan for those looking for hospital, medical, and prescription drug coverage all in one.

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Signature (PPO)
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Septic Shock

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 septic shock. Septic shock generally refers to circulatory failure associated with severe sepsis and therefore represents a type of acute organ dysfunction.

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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
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Panel 1: Spring 2023 Provider Symposium

(Panel 1 booklet) The theme for the May 19, 2023 Healthfirst Spring Symposium is "Artificial Intelligence in Healthcare: Improving Health Outcomes and Advancing Equity with New Tools."

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Panel 2: Spring 2023 Provider Symposium

(Panel 2 booklet) The theme for the May 19, 2023 Healthfirst Spring Symposium is "Artificial Intelligence in Healthcare: Improving Health Outcomes and Advancing Equity with New Tools."

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Book 1: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers

(Conference Book 1) Virtual Continuing Medical Education (CME) Conference: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers This event is jointly offered by Healthfirst and SUNY Downstate Health Sciences University.

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Book 3: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers

(Conference Book 3) Virtual Continuing Medical Education (CME) Conference: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers This event is jointly offered by Healthfirst and SUNY Downstate Health Sciences University.

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Book 4: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers

(Conference Book 4) Virtual Continuing Medical Education (CME) Conference: Autism Spectrum Disorders for the Primary Care Practitioner and Other Providers This event is jointly offered by Healthfirst and SUNY Downstate Health Sciences University.

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Provider Events
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Metastatic Cancer/ Secondary 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 common types of Metastatic Cancer/Secondary Malignant Neoplasm.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Hyperparathyroidism

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 Hyperparathyroidism.

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Clinical Documentation Improvement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2023
Inflation Reduction Act Impacts Cost Sharing for Medicare Part B Drugs

Beginning April 1, 2023, cost sharing for Medicare Part B Drugs will be impacted in accordance with §11101 and §11407 of the Inflation Reduction Act (IRA, P.L. 117-169)*

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Quality and Compliance
  
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