Take a mid-year moment to refresh your documentation and coding knowledge.
View postCodes newly released by the American Medical Association will include prior authorization requirements starting July 1, 2026.
View postEffective October 1, 2026, Healthfirst will require prior authorization for select medical services.
View postLearn more about key updates providers should know.
View postProviders are encouraged to review these updated policies to ensure compliance with current billing and reimbursement requirements.
View postThe Medicare GLP-1 Bridge is a short-term demonstration run by CMS that will provide eligible Medicare Part D beneficiaries with access to certain GLP-1 drugs beginning July 1, 2026 through December 31, 2027.
View postHealthfirst updated its Obstetric Billing Guidelines reimbursement policy to incorporate updated national coding standards and New York State (NYS) Medicaid billing guidance for maternity care.
View postIn alignment with New York State (NYS) Medicaid guidelines, provider eligibility and claim reimbursement for breast cancer surgical procedures must be performed at approved (contracted) facilities.
View postHealthfirst updated its reimbursement policy for dental services covered under the medical benefit when medically necessary to a covered medical condition or procedure.
View postLearn more about key updates providers should know.
View postThe Healthfirst Clinical Documentation and Coding team offers resources to support accurate and complete documentation and coding for patients with Myasthenia Gravis.
View postFor eligible Healthfirst Medicare, Essential Plan, and Qualified Health Plan (QHP) members.
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