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Education Events & Patient Care Resources - Practice Guidelines and Tips - 2021
The Business of Medicine in Primary Care in the Era of COVID-19: Part 1

This Continuing Medical Education activity is designed to update primary care and specialty practices on the evolving strategies for implementing value-based care, new primary care practice models, and evidence-based medicine to meet the needs of communities ravaged by the COVID-19 pandemic. The intent is to inform the attendees on best practices and innovations in addressing racial equity and the needs of special patient populations.

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2021
2021–2022 Seasonal Influenza Vaccine Codes

Based on the August 2021 guidance from the CDC, the CPT influenza vaccine codes in this document reflect updates to the recommendations on the use of seasonal influenza vaccines in the United States from the Advisory Committee on Immunization Practices (ACIP). Healthfirst’s benefit configurations have been updated to include this full range of vaccines.

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Annual Flu Vaccine
  
Coding - Practice Guidelines and Tips - 2021
Documentation and Coding: Atrial Fibrillation

At Healthfirst, we are committed to helping providers accurately document and code their patients’ health records. This tip sheet will offer guidance on how to submit diagnosis code with greater specificity for coding atrial fibrillation (AFib).

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Clinical Documentation Improvement
  
Claims & Billing - Policy, Billing, or Coverage Update - 2021
New CPT® Category III Codes

Healthfirst aims to ensure that our reimbursement policy standards are compliant with state and national industry standards. The American Medical Association (AMA) has released new Category III codes, effective July 1, 2021. As of this date, Healthfirst requires prior authorization for these codes.

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Reimbursement
  
Behavioral Health and Foster Care - Practice Guidelines and Tips - 2021
Children and Family Treatment and Support Services (CFTSS) FAQs

Children and Family Treatment and Support Services are a set of six children’s health and behavioral health Medicaid State Plan services that focus on prevention, early intervention, and access to clinical treatment. With CFTSS, eligible members will have more choices in how to approach rehabilitative intervention.

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Children & Family