DecisionHealth, DecisionHealth - 2026 Issue 1 (January)

After Cigna’s downcoding policy, monitor claims and other payers 

Cigna’s new E/M Coding Accuracy (R49) policy, which took effect October 1, will automatically review — and in some cases, downcode — level 4 and 5 E/M claims that the insurer believes are inconsistent with typical coding patterns.

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