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Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-075v1 Laboratory Procedures

To be considered for reimbursement, all outpatient laboratory claims should be submitted in accordance with: - AMA CPT and HCPCS coding and ICD-10 diagnosis coding guidelines - Other laboratory and pathology coding guidelines - All applicable regulatory guidelines This policy outlines additional requirements beyond the guidelines listed above that are required for reimbursement. Note that these guidelines are reviewed and updated periodically.

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Reimbursement Policy
  
Coding - Practice Guidelines and Tips - 2020
HCC Coding, Risk Adjustment, and Physician Income
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General ICD-10/ICD-11 Information
  
Coding - Practice Guidelines and Tips - 2020
ICD-10-CM Search Tool
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General ICD-10/ICD-11 Information
  
Coding - Practice Guidelines and Tips - 2020
CMS Tips: Provider Minute: The Importance of Proper Documentation (Video)

Uploaded March 2020

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Clinical Documentation Improvement
  
Compliance, Regulatory & Policies - Form - 2020
Communicable Disease Reporting Form
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Communicable Disease Reporting
  
Coding - Provider Newsletter - 2020
The Source ICD-10 Special Edition
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General ICD-10/ICD-11 Information
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Spinal Cord Injury

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 spinal cord injury.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Pulmonary Fibrosis

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 pulmonary fibrosis.

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Clinical Documentation Improvement
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-077v1 Photochemotherapy

Effective September 1, 2023, consistent with the American Academy of Dermatology Association and New York State, Healthfirst will update our policy regarding covered diagnoses for photochemotherapy treatment.

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Reimbursement Policy
  
Compliance, Regulatory & Policies - General Update - 2020
NYC Influenza Updates for 2018-2019 Influenza Prevention and Control
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Immunization
  
Compliance, Regulatory & Policies - Patient Resource - 2020
Adult Immunizations
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Immunization
  
Compliance, Regulatory & Policies - Practice Guidelines and Tips - 2020
NYC Reportable Disease and Conditions
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Communicable Disease Reporting
  
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