News You Can Use: Heed Cigna’s Proposed Change to Forestall Denials

Why This Topic Matters

The topic matters because payer policy changes can affect claim processing, documentation burden, and the risk of denials for common office visit scenarios. Understanding the policy direction helps practices prepare workflows and support compliant claim submission without revealing the premium article’s specific coding guidance.

Article Sections

1. Go Deep on the Details

   Discusses the proposed Cigna policy change, the reasons it drew concern, and the general claim and documentation context surrounding same-day evaluation and management encounters with procedures.

2. Note Change to Modifier 25 Policy

   Summarizes the updated submission logistics described for supporting records, including the general methods and information requested when sending documentation.

3. Consider Options for Delayed Payments

   Reviews the article’s broader discussion of claim timing, prompt payment concerns, and payer accountability considerations if reimbursement is delayed.