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Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]
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Can anyone help with this on what to do in situations when they say go fetch your money from the facility? We are an out of network provider as well.
Anything helps.
Just a heads up. Cigna has released an erroneous update that says procedure code ‘S9083’ Urgent Care Global Fee has been updated with ‘G0434’. For those of us that submit claims to Cigna using this code, this means an increase in denied claims.
They are aware of the issue and are working on a fix. In the interim, I was advised to list all effected claims on a spreadsheet and fax to Provider Relations for them to correct.
Is anyone else having this issue?