Administrative Tips

HEDIS and QRS data collection are right around the corner

January 16, 2025

Each year, we collect data for the Healthcare Effectiveness Data and Information Set (HEDIS®).* The National Committee for Quality Assurance (NCQA), employers, and health plans […] Read more >

Reminder: Centers for Medicare & Medicaid Services prohibition on billing Qualified Medicare Beneficiaries

December 23, 2024

Federal law prohibits all Medicare providers and suppliers, including pharmacies, from billing Medicare beneficiaries in the Qualified Medicare Beneficiary (QMB) eligibility group for Medicare Part […] Read more >

Change Healthcare – latest updates

November 25, 2024

As you know, the Change Healthcare cyber incident continues to affect Cigna Healthcare, third party vendors we work with, and health care providers – as […] Read more >

New rejection codes for Medicare Advantage claims

November 19, 2024

On December 5, our claim processing system for Cigna HealthcareSM Medicare Advantage plans will be updated to include new rejection codes. This may result in […] Read more >

Provider directory update

November 1, 2024

Update your information: Make sure we can find you! Because our directory pulls provider demographic information from the National Plan and Provider Enumeration System (NPPES), […] Read more >

Cigna Healthcare Medicare Advantage: Customer ID card changes for the 2025 plan year

October 17, 2024

Effective for the 2025 plan year, Cigna HealthcareSM Medicare Advantage customer ID cards will no longer display the name and telephone number of the customer’s […] Read more >

Cigna Healthcare Medicare Advantage update: Incorrect coding for dialysis services

September 17, 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: […] Read more >

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

January 16, 2025

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: […] Read more >

Help your patients take control of their heart health

January 16, 2025

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 […] Read more >

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

January 16, 2025

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

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

January 16, 2025

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 […] Read more >

Identifying and preventing common coding errors

January 16, 2025

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. […] Read more >

Resources for coding accuracy and efficiency

January 16, 2025

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 […] Read more >

Use CPT II codes to boost HEDIS scores

January 16, 2025

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 […] Read more >

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

January 16, 2025

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 […] Read more >

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

January 16, 2025

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 […] Read more >

Annual Medicare SNP MOC Training in a Snap

January 16, 2025

Cigna Healthcare can help you complete your annual Special Needs Plan Model of Care (SNP-MOC) training each year in 10 minutes or less. Our video […] Read more >

Using the Provider Newsroom

January 16, 2025

The Provider Newsroom is easy to navigate. Valuable information relevant to your practice is readily available and easy to access through our Provider Newsroom, designed […] Read more >

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