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Patient Care Resources - Practice Guidelines and Tips - 2023
Panel 1 - The Health Equity Imperative: Exploring Solutions to Address Current Health Crises in Our Community

(Panel 1 booklet) October 5, 2023: This continuing medical education activity aims to promote the advancement of community health and well-being through a focus on health inequities and professional practice gap experiences by community-based primary care providers.

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Provider Events
  
Provider Alerts - Policy, Billing, or Coverage Update - 2023
Provider Alert: Prohibiting Copays at OTP Facilities (1205 23)

Effective Jan. 1, 2023, New York law (S.5690/A.372) prohibits commercial health insurance plans from imposing copayments and coinsurance for treatment delivered at an Opioid Treatment Program (OTP). This impacts Qualified Health Plan (QHP), commercial, and Essential Plan products

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QHP
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Rheumatoid Arthritis vs. Osteoarthritis

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 rheumatoid arthritis and osteoarthritis.

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Clinical Documentation Improvement
  
Provider Resources - 2023
Recertification 101 for Healthfirst Providers (slides)

Learn how your practice can identify Healthfirst members eligible for recertification.

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Recertification
  
Provider Alerts - Practice Guidelines and Tips - 2023
The Importance of Recertifications to Your Patients

New York State requires annual eligibility reviews and renewals for members enrolled in the following health insurance plans: - Medicaid - Essential Plan - Child Health Plus - Personal Wellness Plan (HARP) - Medicare Advantage plans with Medicaid or Medicare Savings Program - Managed Long-Term Care

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Recertification
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Dementia

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 dementia.

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Clinical Documentation Improvement
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-074v1 Remote Patient Monitoring

The purpose of this policy is to ensure the Remote Patient Monitoring (RPM) services are reimbursed appropriately and to encourage the use of RPM to improve patient outcomes.

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Reimbursement Policy
  
Diabetes & Prediabetes Care for Your Patients - Practice Guidelines and Tips - 2023
Healthfirst Cares powered by Welldoc® App Prediabetes FAQs

View this document for answers to some of the most frequently asked questions about the Healthfirst Cares powered by Welldoc® App for prediabetes self-management and prevention.

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HF Cares
  
Diabetes & Prediabetes Care for Your Patients - Practice Guidelines and Tips - 2023
Healthfirst Cares powered by Welldoc® App Prediabetes Provider Capabilities Guide

The Capabilities Guide provides a detailed overview of the numerous prediabetes self-management features and benefits of the Healthfirst Cares powered by Welldoc® App including: Personalized Digital Coaching, Personalized Reports, Clinically Based Education, Nutritional Guidance, and more! It also includes a QR Code to make it easy for your patients to scan and download the Healthfirst Cares App.

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HF Cares
  
Patient Care Resources - Practice Guidelines and Tips - 2023
Program Book: Transforming Care for Individuals Living with Psychosis

(Program book) October 12, 2023: This program aims to address common barriers to effective treatment of psychotic disorders including delayed onset of treatment, and lack of provider knowledge for when and how to initiate clozapine for individuals with treatment resistant schizophrenia and strategies for managing and mitigating common side effects of antipsychotics to improve adherence.

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Provider Events
  
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