HF Logo HF Logo
Provider Home

Search

Resource Type
Clear All
Filter
Year
Sort By
Showing 37-48 of 671
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2025
Reimbursement Policy: PO-RE-136 Brainstem Auditory Evoked Potentials and Responses (BAEPs/BAERs)

This policy outlines the reimbursement guidelines for Brainstem Auditory Evoked Potentials (BAEPs) and Brainstem Auditory Evoked Responses (BAERs) testing, in accordance with Local Coverage Determination (LCD) L34975 and Local Coverage Article A56773, Jurisdiction H and L.

Open document
Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2025
Reimbursement Policy: PO-RE-129 Medicare Physician Fee Schedule Status Indicators

The purpose of this reimbursement policy is to define the payment criteria for covered services as designated by the Centers for Medicare and Medicaid Services (CMS), particularly those classified as "always bundled" when billed alongside another physician's procedure or service.

Open document
Reimbursement Policy
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
2025 Medicare Physician Fee Schedule Final Rule

Effective Jan 1, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the 2025 Medicare Physician Fee Schedule Final Rule with key updates impacting Preventive Services for Medicare members.

View Post
Reimbursement
Healthfirst Plans
Administration
Authorization
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Changes to Prior Authorization Submissions for Back Pain Management and Spinal Surgery Services

Starting September 3, 2025, Healthfirst providers will need to submit prior authorizations via Optum’s Spine, Pain, and Joint portal as the OrthoNet portal will be discontinued.

View Post
Reimbursement
Healthfirst Plans
Administration
Authorization
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Prior Authorization Requirements for Drugs, Supplies, and Procedures for Sexual Dysfunction or Erectile Dysfunction

In accordance with Chapter 645 of the Laws of 2005, the New York State (NYS) Medicaid program does not cover prescription or physician-administered drugs used for the treatment of sexual dysfunction (SD) or erectile dysfunction (ED).

Open external link
Reimbursement
Healthfirst Plans
Administration
Authorization
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Prior Authorization Guidelines for Select Remote Patient and Remote Therapeutic Monitoring Services

Prior Authorization Guidelines for Select Remote Patient (RPM) and Remote Therapeutic Monitoring (RTM) Services Effective September 1, 2025

Open external link
Reimbursement
Healthfirst Plans
Administration
Authorization
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series Session 1

OIG Targeted High Risk Condition Series Session 1: Heart Failure, Chronic Kidney Disease (CKD), Hypertension (HTN) (February 6, 2025)

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series, Session 2

OIG Targeted High Risk Condition Series, Session 2: Heart Failure, AFIB, Angina - Part 2 (March 6, 2025)

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series, Session 3

Book for OIG Targeted High Risk Condition Series, Session 3: Major Depression Disorder, Anorexia & Bulimia (April 3, 2025)

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series, Session 4

Book for OIG Targeted High Risk Condition Series, Session 4: Pulmonary Embolism (PE) and Deep Vein Thrombosis (DVT), Hepatitis & Cirrhosis (May 1, 2025)

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Agenda and Faculty Bios booklet - 2025 Spring Provider Symposium

Agenda and Faculty bios booklet for May 16, 2025, Spring Provider Symposium - Evolving Models of Care: Transforming Patient Care Through Lifestyle Management

Open external link
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Keynote Speaker and Panel 1 booklet - 2025 Spring Provider Symposium

Keynote Speaker and Panel 1 booklet for May 16, 2025, Spring Provider Symposium - Evolving Models of Care: Transforming Patient Care Through Lifestyle Management

Open external link
Provider Events
  
You are now navigating away from the Healthfirst website.

Links to non-Healthfirst websites are provided for your convenience only. Healthfirst is not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.