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Patient Care Resources - Practice Guidelines and Tips - 2020
Access to Specialty Care: Three Ways You Can Improve Patient Satisfaction
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CAHPS & HOS (Member Satisfaction)
  
Patient Care Resources - Patient Resource - 2020
Take Care NY – My Diabetes Checkbook
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Diabetes Self-Management
  
Patient Care Resources - Practice Guidelines and Tips - 2020
2020 Healthfirst Fall Symposium

Best Practices and Innovation: Pillars of Wellness for New Yorkers Seeking Longevity and Quality in the Era of COVID-19

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Provider Events
  
Behavioral Health and Foster Care - Form - 2020
Children's HCBS Authorization and Care Manager Notification Form

The Children’s Waiver HCBS Provider must complete this form for Children’s Waiver HCBS beyond the initial service period of 24 hours/96 units/60 days.

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Health Home and Community-Based Services
  
Coding - Practice Guidelines and Tips - 2020
Documentation and Coding: Risk Adjustment

This tip sheet offers guidance on proper risk adjustment coding. Risk adjustment relies on correct ICD-10-CM diagnosis coding to represent the member’s health status and to establish an accurate risk score.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2020
Documentation and Coding: Functional Quadriplegia

This tip sheet offers guidance on how to submit diagnosis codes for Functional Quadriplegia, which is defined as “the inability to move due to severe disability or frailty caused by another condition without physical injury or damage to the brain or spinal cord.”

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2020
Documentation and Coding: Protein-Calorie Malnutrition (PCM) or Protein-Energy Malnutrition (PEM)

To accurately code a patient as Protein-Calorie Malnutrition or Protein-Energy Malnutrition, the coder must document the diagnosis. Severity ranges from subclinical deficiencies to obvious wasting (with edema, hair loss, and skin atrophy) to starvation. Multiple organs are often impaired.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2021
Documentation and Coding: Morbid Obesity

To accurately code a patient as morbidly obese, the provider must document the patient’s obesity in the medical record. Per 2020 ICD-10-CM Guidelines, “BMI codes should only be assigned when there is an associated, reportable diagnosis (such as morbid obesity). Do not assign BMI codes during pregnancy.”

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Clinical Documentation Improvement
  
Patient Care Resources - General Update - 2020
USPSTF Recommendation on HIV Screening and PrEP

New York State is seeking to increase the number of eligible individuals taking advantage of PrEP from 32,000 at the end of 2018 to 65,000 by the end of 2020.

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Sexual Health
  
Patient Care Resources - Practice Guidelines and Tips - 2020
PrEP to Prevent HIV and Promote Sexual Health

NYS strongly endorses PrEP as an effective, evidence-based biomedical intervention that is a pillar of primary prevention for individuals at high risk of HIV acquisition, emphasizing the importance of prescribing PrEP in conjunction with counseling on safer sex and safer injection practices.

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Sexual Health
  
Patient Care Resources - Practice Guidelines and Tips - 2020
PrEP Recommended ICD-10-CM Codes

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding system does not designate specific billing codes for PrEP or PEP related services. The New York State Department of Health and the New York City Department of Health and Mental Hygiene recommend the use of the following ICD-10-CM codes for PrEP and PEP related outpatient services.

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Sexual Health
  
Patient Care Resources - General Update - 2020
PrEP Awareness Week

The theme of PrEP Aware Week, 2020 is: “This is Why I PrEP”. The theme recognizes that PrEP is an individualized approach to HIV prevention and sexual health. “This is Why I PrEP” provides a broad umbrella for reaching all New Yorkers with tailored messages about PrEP that will speak to them as individuals and members of different, overlapping, diverse communities.

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Sexual Health
  
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