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Education Events & Patient Care Resources - Practice Guidelines and Tips - 2020
Newborn Hearing Screening; Lost to Documented Follow-Up Considerations for the Medical Home
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Children & Family
  
Coding - Practice Guidelines and Tips - 2020
HCC Coding, Risk Adjustment, and Physician Income
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General ICD-10/ICD-11 Information
  
Claims & Billing - Form - 2020
Waiver of Liability Form 2020
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Documentation
  
Education Events & Patient Care Resources - Video - 2020
Pillars of Wellness for New Yorkers Seeking Longevity & Quality During COVID–19 (Video)

Healthfirst’s semiannual Provider Symposium, held on November 13, 2020, offered a unique opportunity for experts from healthcare delivery, public health, and the community to share prevention-based initiatives in the health delivery system for vulnerable patients. Featured speakers highlighted early successes in engaging Healthfirst members, practices, and communities in innovative programs that address the health trajectory of New Yorkers.

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Provider Events
  
Coding - Practice Guidelines and Tips - 2021
Documentation and Coding: Benign Brain 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 benign brain neoplasm.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2021
Documentation and Coding: Rheumatoid Arthritis

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 rheumatoid arthritis.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Alcohol and Drug Related 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 alcohol- and drug-related disorders.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Pulmonary Embolism, 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 Pulmonary Embolism.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Provider Alerts - Behavioral Health and Foster Care - Practice Guidelines and Tips - 2023
Cultural Competency Training for Participating Providers

New York State Department of Health requires providers and their office staff who have regular and substantial contact with Healthfirst members certify annually the completion of Cultural Competency Training.

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Behavioral Health
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Fractures, 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 fractures.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Medicare Coverage Billing Guidance for Intensive Outpatient Programs

As of Jan. 1, 2024, Medicare now covers Intensive Outpatient Services. Learn more about the program and billing requirements here.

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Behavioral Health and Mental Health
Reimbursement
Medicare
  
Provider Alerts - Practice Guidelines and Tips - 2024
Availity Essentials™: Healthfirst’s New Provider Portal Launching July 2024

We are excited to announce that Healthfirst is transitioning to Availity Essentials as our new secure provider portal platform. This transition represents our commitment to continually improving our services and enhancing your overall experience with Healthfirst.

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Administration
  
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