Archive for Medicare Advantage

Clinical, reimbursement, and administrative policy updates

July 26, 2024

To support access to quality, cost-effective care for your patients with a medical plan administered by Cigna Healthcare, we routinely review clinical, reimbursement, and administrative […]

Cigna Healthcare Medicare Advantage update: Discarded Drugs and Biologicals – JW Modifier and JZ Modifier Policy

July 26, 2024

We routinely review our coverage, reimbursement, and administrative policies for potential updates. In that review, we take into consideration one or more of the following: […]

Typhoon affecting Cigna Healthcare’s call centers

July 24, 2024

Please note that our provider customer service team located in the Philippines is affected by Typhoon Gaemi. Therefore, health care providers attempting to contact us […]

Help your patients take control of their heart health

July 1, 2024

Because high blood pressure often has no symptoms, your patients may not be aware of their blood pressure numbers or risk for hypertension until a […]

Brand evolution migrates some emails to Cigna Healthcare or Evernorth Health Services

June 28, 2024

As part of our brand evolution under The Cigna Group, which includes the Cigna Healthcare℠ and Evernorth® Health Services brands, you may notice that some […]

Cigna Healthcare Medicare Advantage – Part B step therapy enhancements

June 5, 2024

Step therapy is a required process that applies to certain Medicare Advantage Part B prescription drugs. It requires customers to first try preferred medications over […]

Zelis to assist with payment integrity claim reviews for Cigna Healthcare Medicare Advantage

May 30, 2024

Cigna HealthcareSM is committed to providing efficient and accurate claims processing that is consistent with the Centers for Medicare & Medicaid Services and American Medicare […]

Cigna Healthcare Medicare Advantage patient support programs

May 29, 2024

Cigna Healthcare offers several in-home and telephonic patient support programs for your patients with Cigna Healthcare Medicare Advantage coverage that enable early intervention for their […]

Cigna Healthcare Medicare Advantage – Updates to the Preferred Provider Organization primary care provider attribution methodology

May 29, 2024

The Cigna HealthcareSM Medicare Advantage Preferred Provider Organization (PPO) Attribution team has made updates to the Medicare primary care provider (PCP) attribution methodology that are […]

Identifying and preventing common coding errors

May 22, 2024

As part of our commitment to the health of our customers, Cigna Healthcare takes reasonable steps to ensure that claim coding is accurate and complete. […]

Resources for coding accuracy and efficiency

May 22, 2024

Accurate diagnostic coding can improve payment timelines, help ensure accurate recordkeeping, and ultimately contribute to better overall patient care. Specificity Specificity in both documentation and […]

Use CPT II codes to boost HEDIS scores

May 22, 2024

Current Procedural Terminology Category II (CPT® II) codes simplify performance measure reporting, reduce the need for medical chart retrieval and abstraction, help close gaps in […]

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