Posted in Insurance, Training, Updates

Cigna: Clinical, Reimbursement Policy Updates (Q1,2021)

The following updates for Clinical, Reimbursement, and Administrative Policies apply to ALL Cigna plans, including GWH-Cigna with “G” on the card.

To read the complete Cardiac Rhythm Implantable Device Guidelines (by eviCore), please click here.

Bariatric Surgery and Procedures: A very common question that I receive, from surgeons-Is hiatal hernia repair, if done with another Bariatric surgery procedure or major esophagogastric procedure, paid separately? I always remind the surgeons that even if the code exists it does not mean that it is reimbursed separately. Below, please see the the CIGNA updated policy.

Source: Cigna Policy Updates Q1.

Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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