You can help assure quicker payment by following the official guidelines for chronic condition coding and reporting, while adhering to the Centers for Medicare & Medicaid Services (CMS) guidelines. Each year, CMS requires us to review and identify common documentation and coding opportunities for Cigna Healthcare Medicare Advantage participating-providers. 

We select providers for documentation and coding reviews based on claims analysis of diagnosis code reporting trends and notify the providers in advance by mail. Providers will receive post-audit results and the opportunity for follow-up education with their Provider Education Specialist, when appropriate.

ICD-10* coding and documentation resources

Numerous educational tools and resources are available to help you submit accurate and complete coding. Go to MedicareProviders.Cigna.com > Provider Education > Documentation and Coding Resources to find:

• Our ICD-10 Provider Toolkit, which includes:
  • ICD-10 Provider Partnership Guide (available in digital or printed format)
  • ICD-10 Quick Desk Reference Guide (printable PDF or laminated copies available for order)
  • ICD-10 On-the-Go Pocket Guide (spiral-bound guide with tabs available for order)
• ICD-10 Documentation & Coding Best Practices
• Quality Documentation Management Report (QDMR) for Cigna Healthcare Medicare Advantage Providers – August 2023

Additional resources located on the Provider Education and Assessment Tools web page include:

• Disease-specific training sessions.
• Health assessment tools and information.

For questions or to place an order for printed materials, contact your Provider Education Specialist.

* International Classification of Diseases, 10th Revision.