Administrative Tips

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: […] Read more >

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 […] Read more >

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 […] Read more >

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 […] Read more >

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 […] Read more >

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. […] Read more >

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 […] Read more >

Use CPT II codes to boost HEDIS scores

July 26, 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 […] Read more >

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

July 26, 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 […] Read more >

Change Healthcare: Latest updates on EFT, ERA, and 835 files

July 26, 2024

Thank you for your patience as we work to resolve disruption from Change Healthcare’s cyber security incident. As an organization, we are focused on ensuring […] Read more >

Provider directory update

July 26, 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 >

Radiology, cardiology, and musculoskeletal prior authorizations managed through EviCore will transition to the EviCore CareCore National portal

July 26, 2024

Effective May 1, the Cigna Healthcare Medicare Advantage radiology, cardiology, and musculoskeletal prior authorizations managed through EviCore by Evernorth® (EviCore) will transition from the EviCore […] Read more >

Home Infusion Therapy (HIT) Medicare billing requirements

July 26, 2024

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How to contact us

July 26, 2024

When you’re administering plans for your patients with Cigna Healthcare coverage and have questions, who do you contact? In a few clicks, you can quickly […] Read more >

Cigna Healthcare Reference Guides

July 26, 2024

The Cigna Healthcare Reference Guides for participating physicians, hospitals, ancillaries, and other providers contain many of our administrative guidelines and program requirements. They include information […] Read more >

Prior authorization

July 26, 2024

Did you know? Less than four percent of all medical services for your patients with Cigna Healthcare Medicare Advantage plans require prior authorization. When services […] Read more >

COVID-19 post-PHE resources and reminders

July 26, 2024

While the COVID-19 public health emergency (PHE) has ended, COVID care and treatment is still a very relevant issue for your senior patients. Providers can […] Read more >

Peer-to-peer reviews with Cigna Healthcare medical directors

July 26, 2024

Cigna Healthcare medical directors are available at any time for peer-to-peer reviews with providers who participate in our Medicare Advantage network. Read more >

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