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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
  
Patient Care Resources - Practice Guidelines and Tips - 2020
Developmental and Behavioral Health Screening in Pediatrics: Best Practices and Challenges

October 17, 2020 This CME activity is designed to provide general pediatricians and family practitioners with the most up-to-date guidance on developmental and behavioral screening practices. The event addressed strategies that general pediatricians and family practitioners can use to implement this guidance in their offices and the challenges they and the families in their care may face.

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Provider Events
  
Coding - Policy, Billing, or Coverage Update - 2021
Documentation and Coding: CVA with Sequelae

Codes in this category describe the type of stroke and the sequelae (late effects) caused by the stroke. Documentation should clearly state whether a neurological deficit is directly related to cerebrovascular disease or a cerebrovascular accident.

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Clinical Documentation Improvement
  
Coding - Policy, Billing, or Coverage Update - 2021
Documentation and Coding: Medical Decision Making (MDM)

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection on services submitted to Healthfirst. It provides information from industry sources about proper coding practice.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2021
1765 20 Documentation and Coding Guide Anemia v5 FINAL

This tip sheet will offer guidance on how to submit diagnosis codes with greater specificity for coding Anemia Associated with Malignancy, Chemotherapy, or Immunotherapy. Created February 2021.

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Clinical Documentation Improvement
  
Claims & Billing - Policy, Billing, or Coverage Update - 2021
Policy for Medical Record Documentation Standards

Effective February 1, 2021, consistent with Centers for Medicare & Medicaid Services (CMS) guidelines and the Healthfirst Provider Manual, Healthfirst will require the medical record documentation standards outlined within this document.

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Medical Record Reviews
  
Behavioral Health and Foster Care - Practice Guidelines and Tips - 2021
Foster Care and Initial Health Assessments

Effective July 1, 2021, children/youth placed in foster care, including those in direct placement foster care and those in the care of Voluntary Foster Care Agencies statewide, will be mandatorily enrolled in Medicaid Managed Care unless they are otherwise exempt or excluded from enrollment. As such, these individuals may present Healthfirst insurance.

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Foster Care
  
Behavioral Health and Foster Care - Practice Guidelines and Tips - 2021
Initial Health Assessments for Kids in Foster Care

Effective July 1, 2021, children/youth placed in foster care, including those in direct placement foster care and those in the care of Voluntary Foster Care Agencies statewide, will be mandatorily enrolled into Medicaid Managed Care unless they are otherwise exempt or excluded from enrollment. This presentation was created to educate Primary Care Providers who may treat children placed in foster care on the initial health activities that must be completed within 60 days of foster care placement.

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Foster Care
  
Patient Care Resources - Practice Guidelines and Tips - 2021
Fourth Annual World Health Continuing Medical Education Conference

June 3-5, 2021 Virtual Conference This Continuing Medical Education activity is designed to update primary care and specialty practices on the evolving strategies for implementing evidence-based medicine to meet the needs of local, regional, and global communities. The intent is to inform the attendees on innovations in treating special patient populations, with a focus on Caribbean communities. Using evidence-based prevention, chronic-disease management, pharmacotherapy, and cutting-edge treatment options, participants will be able to integrate approaches to improve patient care outcomes.

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Provider Events
  
Coding - Practice Guidelines and Tips - 2021
Documentation and Coding: Prostate Cancer

This tip sheet will offer guidance on how to submit diagnosis codes with greater specificity for coding Prostate Cancer. Cancer is a chronic condition that is often coded inaccurately. The prevalence and complexity of cancer and neoplasm coding requires a solid understanding of the ICD-10-CM codes and coding guidelines to ensure accurate code assignment.

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Clinical Documentation Improvement
  
Patient Care Resources - Practice Guidelines and Tips - 2021
Best Practices and Innovation: Facing the Reality of Post-COVID Symptoms

May 14, 2021 Virtual Conference Healthfirst’s semi-annual Provider Symposium features the innovative work of practices, health care organizations and industry leaders who care for and serve our members. Providers, administrators, and leaders from a variety of ambulatory, community based, and independent health and social service settings look forward to attending and learning from colleagues and health leaders. This theme for symposium is Best Practices and Innovation: Facing the Reality of Post-COVID Symptoms.

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Provider Events
  
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