Medicare

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 >

Provisional provider Medicaid enrollment process for Florida

December 23, 2024

Due to Hurricane Milton, the Florida Agency for Health Care Administration has directed health plans to implement a provisional provider Medicaid enrollment process for providers. […] Read more >

Changes for Part D Measures to 2025 Measurement Year for the 2027 Star Ratings

December 11, 2024

The Centers for Medicare and Medicaid Services (CMS) finalized the addition of two new Part D measures for the 2025 measurement year. Both were developed […] 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 >

Provider data enhancements to the HSConnect provider portal

November 18, 2024

On December 1, 2024 we will implement multiple software enhancements to the HSConnect provider portal. The enhancements include an indicator that will assist in selecting […] Read more >

Annual Medicare SNP MOC Training in a Snap

November 15, 2024

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 >

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 transaction Frequently asked questions

December 23, 2024

Health Care Service Corporation (HCSC) and The Cigna Group entered into a definitive agreement whereby HCSC will acquire Cigna Healthcare’s Medicare Advantage, Supplemental Benefits, Medicare […] Read more >

Cigna Healthcare Medicare Advantage transaction update

December 23, 2024

Earlier this year Health Care Service Corporation and The Cigna Group entered into a definitive agreement whereby HCSC will acquire Cigna Healthcare’s Medicare Advantage, Supplemental […] Read more >

Health Outcomes Survey: A look at patient-provider relationships

December 23, 2024

Health Outcomes Survey (HOS) season is here. Each year, we send the HOS to a random sampling of patients with Cigna HealthcareSM Medicare Advantage plans. […] Read more >

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

December 23, 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 patient support programs

December 23, 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 […] Read more >

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

December 23, 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 >

Helping Cigna Healthcare Medicare Advantage customers find you

December 23, 2024

Is your Cigna Healthcare Medicare Advantage Provider Directory listing up to date? Ensuring your contact information is accurate makes it easier for our customers find […] Read more >

Stars annual surveys overview

December 23, 2024

Reach for the Stars Higher Star ratings can positively impact the growth of your practice by: Surveys and data that contribute to Star ratings Consumer […] Read more >

Stars digital guidebook

December 23, 2024

Your patients use Star ratings and other quality measures to make informed health care decisions, such as who to choose as their primary care provider […] Read more >

The Medicare Advantage migration

December 23, 2024

Market Medical Executives support providers through practice growth opportunities The popularity of Medicare Advantage plans has soared over the past decade with health care consumers. […] Read more >

Provider resources for accurate coding and documentation

December 23, 2024

You can help assure quicker payment by following the official guidelines for chronic condition coding and reporting, while adhering to the Centers for Medicare & […] Read more >

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