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Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Panel 2 booklet - 2025 Spring Provider Symposium

Panel 2 booklet for May 16, 2025, Spring Provider Symposium - Evolving Models of Care: Transforming Patient Care Through Lifestyle Management

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Provider Events
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2025
Reimbursement Policy: PO-RE-142 Home Sleep Test (HST)

A Home Sleep Test (HST) is designed to help diagnose sleep disordered breathing conditions in a home-setting.

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Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2024
Reimbursement Policy: PO-RE-113 Doula Services

Effective January 1, 2025, Healthfirst will provide coverage of Doula Services provided in accordance with 42 CFR section 440.130(c). This policy outlines Healthfirst guidelines for the reimbursement of Doula Services.

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Reimbursement Policy
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Authorization Requirements for Additional Physical and Occupational Therapy Visits for New Conditions or Body Parts

Providers are reminded that when submitting an authorization request for an existing patient to treat a new condition or body part, the submission will be considered a new prior authorization request.

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Administration
Authorization
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Chronic Hepatitis

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 Chronic Hepatitis.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Vascular 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 vascular dementia.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Schizophrenia

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 Schizophrenia.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Pyogenic Arthritis

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 Pyogenic Arthritis.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Ovarian Cancer

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection of services submitted to Healthfirst — specifically for common types of Ovarian Cancer.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Leukemia

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 Leukemia.

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Inflammatory Bowel Disease

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 inflammatory bowel disease (IBD).

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Clinical Documentation Improvement
  
Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Chronic Kidney Disease

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection of services submitted to Healthfirst — specifically for common types of Chronic Kidney Disease.

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Clinical Documentation Improvement
  
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