Provider News
IMPORTANT REMINDER: Upcoming Policy Changes Related to Improvements in Claims Processing
Effective August 3, Community First Health Plans will enhance the existing claims processing program to improve the overall accuracy of claim processing in partnership with Cotiviti. We want to share this information in advance, so you are prepared for the upcoming...
Lung Cancer Screening with Low Dose Computed Tomography (LDCT): Coverage and Billing Guidance
Community First Health Plans is providing guidance on coverage and billing requirements for lung cancer screening with low‑dose computed tomography (LDCT). Proper coding and claims submission support accurate claims processing and compliance with Centers for Medicare...
Medical Nutrition Therapy Services: Coding and Billing Guidance
Community First Health Plans is providing guidance on billing requirements for Medical Nutrition Therapy (MNT) services. Proper coding and diagnosis reporting supports accurate claims processing, CMS compliance, and reduces claim denials. Medical Nutrition Therapy...
Laboratory Modifiers 59 and 91: Correct Use and Coding Guidance
Community First Health Plans is providing clarification on the appropriate use of laboratory modifiers 59 and 91. These modifiers are valid for many laboratory services and may be required when multiple laboratory services described by a single CPT® code are performed...
DSHS Laboratory Training – April 29: Texas Health Steps Specimen Submission Requirements
Community First is sharing information about an upcoming Department of State Health Services (DSHS) Laboratory training focused on Texas Health Steps specimen submission requirements. This training is offered by DSHS and is available to Providers both in person and...
National Prescription Drug Take Back Day – April 25
Community First Health Plans encourages Providers to help raise awareness about National Prescription Drug Take Back Day, taking place April 25th at participating locations nationwide. This event provides a safe, convenient, and responsible way to dispose of unused,...
COMMUNITY FIRST HEALTH PLANS Provider E-NEWSLETTER
Stay up to date on important news and upcoming events.
