心臟病資源  | Fidelis Care

心臟健康資源

所有年齡段的人群都應該重視心臟健康。營養膳食、規律鍛煉、定期就醫,均可幫助您確保心臟健康。與您的醫療保健服務提供者合作,養成良好的生活習慣,降低罹患心臟疾病的風險。


心臟病是指因動脈斑塊在動脈壁累積而導致的疾病。其他疾病包括心律不齊(心律異常)、先天性心力衰竭和心臟瓣膜問題。

您面臨哪些患病風險?

任何人都可能罹患心臟病,包括兒童。您可能患有先天性心臟病,如有心臟病家族史,則您的患病風險也會增加。

大部分心臟病是由吸煙或不健康飲食等不良習慣長期發展導致的結果。高膽固醇、高血壓或糖尿病亦會增加罹患心臟病的風險。與您的醫療保健服務提供者討論預防或管理糖尿病,以及控制其他致病風險的方法。

什麼是良好的靜息心率?

成年人的正常靜息心率為每分鐘60到100次(bpm)。請注意,年齡、體力活動和整體健康狀況等因素都可能影響您的正常靜息心率。

如果您對心率有任何疑慮,請諮詢您的醫療保健服務提供者。

高血壓如何影響心臟健康?

血壓越高,發生心臟病、心臟病發作和中風的風險就越大。可能導致高血壓的因素包括:

  • 糖尿病
  • 體重超標或肥胖
  • 吸煙
  • 缺乏充分且規律的體育鍛煉
  • 不健康的飲食,包括高鹽飲食和飲酒

與您的醫療保健服務提供者討論如何降低血壓,避免心臟病和中風。

怎樣才能降低罹患心臟病的風險?
多食用水果、蔬菜、全穀類、堅果、家禽肉和魚;避免攝入過多鹽或糖
• 保持健康的體重
• 每週至少鍛煉150分鐘
• 將血壓、膽固醇和血糖控制在健康水準
• 不要抽煙或使用煙草製品
•聽從醫生的建議
心臟病可以治療嗎?

是。與您的醫療保健服務提供者討論如何安全降低罹患心臟病的風險。您也可以討論制訂目標,保護心臟健康。您的醫療保健服務提供者還可能開具處方藥。

心臟病發作的症狀有哪些?

當流向心臟的血液嚴重減少或發生阻塞時,就會心臟病發作。留心以下症狀:

  • 疲勞
  • 出冷汗
  • 噁心
  • 胸痛
  • 頭暈目眩
  • 呼吸急促
  • 下頜、頸部、手臂、肩膀或背部疼痛

如果您或您認識的人心臟病發作,請立即致電911

充血性心力衰竭是由什麼原因引起的?

充血性心力衰竭(CHF)是一種慢性疾病,它會使你的心臟更難泵出血液以滿足身體的需要。以下因素可能增加罹患CHF的風險:

  • 糖尿病
  • 高膽固醇
  • 高血壓
  • 不健康飲食
  • 缺乏充分鍛煉
  • 吸煙和/或使用煙草
  • 體重超標或肥胖
  • 精神緊張

有關CHF的更多詳情,請諮詢您的醫療保健服務提供者。

心律失常是由什麼原因引起的?

心律失常是指心跳不規律。以下因素可能導致心律失常:

  • 血糖水準過高或過低
  • 攝入咖啡因、非法藥物和某些藥物
  • 脫水
  • 電解質含量低,如鉀、鎂或鈣水準低
  • 體育活動
  • 強烈的情緒壓力或焦慮
  • 嘔吐或咳嗽
  • 吸煙
  • 使用非法藥物,如可卡因或安非他明
  • 超頻率或超量飲酒(男性每天限制飲酒2杯,女性每天限制飲酒1杯)
  • 服用某些抗生素和非處方過敏藥和感冒藥

請諮詢您的醫療保健服務提供者,瞭解如何預防心律失常。

以下是一些可幫助您預防或控制心臟病的資源:

 

控制血壓傳單

美國心臟病協會

高血壓資源頁面(CDC)

心臟健康文章和視訊(Healthwise)

 


健康資源

協助您和您的醫療服務提供者更好地管理您的健康資訊。

Healthwise

瀏覽一個資料庫,其中包含來自Healthwise的健康資訊、錄影和工具。

會員入口網站

登入或註冊進行支付、列印會員卡、選擇或更換PCP,等等。

更多心臟健康資訊:


New York State Medicaid Postpartum Visit Incentive
2025/7/18 • Posted by Provider Relations in Provider News, Provider Quality

Fidelis Care would like to inform providers of a postpartum visit incentive being offered through the New York State (NYS) Medicaid program. This program will provide an additional payment to the current NYS Medicaid reimbursement for comprehensive, timely postpartum visits provided to Medicaid Managed Care (MMC)/Fidelis Care Medicaid members. The incentive payment will apply to postpartum visits for deliveries that occurred from July 1, 2024, through March 31, 2025.

Providers who delivered a person-centered comprehensive postpartum visit as outlined by the American College of Obstetricians and Gynecologists clinical guidelines, including a postpartum depression screen, to Fidelis Care members within 12 weeks of the date of delivery will receive an additional payment of $208.55. Obstetrician/gynecologists, certified nurse midwives, family practice providers, and clinics that provide perinatal services are eligible to receive the incentive. One incentive payment is available per member/delivery combination.

 

If billing the bundled/global procedure codes (“59400”, “59410”, “59510”, “59515”, “59610”, “59614”, “59618”, “59622”, “59426”, and “59425”), providers must submit a claim for the postpartum visit with Category II Current Procedural Terminology code “0503F”, as well as a $0.00 charge, to be considered for the incentive payment.

 

To better understand the timing and delivery of perinatal (prenatal and postpartum) services to New York State (NYS) Medicaid members and Medicaid Managed Care (MMC) enrollees, additional information is needed from providers. Providers using bundled/global procedure codes for billing will also be required to submit claims with non-payment Category II Current Procedural Terminology (CPT) codes for perinatal services to NYS Medicaid fee-for-service (FFS) and MMC.

These Category II CPT code claims are in addition to the global or bundled code claims.  The following CPT II codes should be used:

0500F             Initial Prenatal Visit

0502F             Subsequent Prenatal Visit

0503F             Postpartum Visit 

 

Providers that were unaware of the new billing guidelines can resubmit claims to Fidelis Care with the appropriate CPT II codes, by the dates listed below

Date of Delivery

Comprehensive Postpartum Visit Period End Date

Claims Resubmission End Date

July 1, 2024 to       September 30, 2024

December 23, 2024

July 31, 2025

October 1, 2024 to December 31, 2024

March 25, 2025

September 25, 2025

January 1, 2025 to    March 31, 2025

June 23, 2025

December 23, 2025

 

Electronic Submission of Corrected Claims

To submit corrected claims electronically:

  • The original claim number must be submitted 
  • The claim frequency type code must be a 7 (replacement of prior claim)
  • 2300 Loop, CLM Claim Information Segment, CLM05-3 Claim Frequency Type Code Element must be set to a 7 and 2300 Loop
  • REF Original Reference Number (ICN/DCN) Segment where REF01 Element equals F8, REF02 Element must contain Fidelis Care Original Claim Number
  • Only one correction for a Fidelis Care Original Claim Number should be submitted per day

 

Paper Claim Re-Submissions

To submit corrected claims by paper mail to:

 

Fidelis Care Attn: Corrected Claims

480 Crosspoint Parkway

Getzville, New York 14068

 

Earned payments will be distributed following claim reconciliation to confirm a postpartum visit that meets the guidelines stated above was performed. Once payments are received by Fidelis Care from the state, those payments will be applied to the claims submitted during the applicable time period.

 

For the initial announcement and additional information on this direction, providers should refer to the Submission of Prenatal and Postpartum Service Claims for Each Pregnancy Related Visit article published in the June 2024 issue of the Medicaid Update.  

Questions should be directed to MaternalandChild.HealthPolicy@health.ny.gov

 

For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.