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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
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Neoplasm of the Meninges

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 Neoplasm of the Meninges.

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Clinical Documentation Improvement
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-073v1 Ordering/Referring Provider NPI

The NPI number of the ordering/referring provider should be included in all claim’s submissions to Healthfirst for member service requests. Federal regulations require you to submit HIPAA standard electronic transactions with only your NPI number.

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Reimbursement Policy
  
Provider Alerts - Policy, Billing, or Coverage Update - 2023
Change in Level of Service Determinations and Prior Authorizations for Assertive Community Treatment

Effective June 20, 2023, Healthfirst, in accordance with the State of New York, will no longer require Level of Service Determinations (LOSD) or prior authorization for Assertive Community Treatment (ACT)

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ACT
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Major Depressive Disorder

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 Major Depressive Disorders.

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Clinical Documentation Improvement
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Day 1, panels 1: Sixth Annual World Health Continuing Medical Education Conference

(Day 1, panels 1) The theme for the June 16-17, 2023, Sixth Annual World Health Continuing Medical Education Conference is Health Disparities Impacting Global and Local Caribbean Populations

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Day 1, panels 2-3: Sixth Annual World Health Continuing Medical Education Conference

(Day 1, panels 2-3 booklet) The theme for the June 16-17, 2023, Sixth Annual World Health Continuing Medical Education Conference is Health Disparities Impacting Global and Local Caribbean Populations

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Day 1, panel 4: Sixth Annual World Health Continuing Medical Education Conference

(Day 1, panel 4 booklet) The theme for the June 16-17, 2023, Sixth Annual World Health Continuing Medical Education Conference is Health Disparities Impacting Global and Local Caribbean Populations

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Provider Events
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Day 2: Sixth Annual World Health Continuing Medical Education Conference

(Day 2 booklet) The theme for the June 16-17, 2023, Sixth Annual World Health Continuing Medical Education Conference is Health Disparities Impacting Global and Local Caribbean Populations

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Provider Events
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Myasthenia Gravis

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 myasthenia gravis.

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Clinical Documentation Improvement
  
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