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Medical Groups Voice Concern Over Payer’s New Coding Policy
HealthLeaders Media May 5, 2023
More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25.
KEY TAKEAWAYS
Cigna says it will require clinical documentation to be submitted for all claims for an E/M service reported with modifier -25.
Medical groups, including the American Medical Association, wrote in a letter to Cigna stating that the new policy is burdensome for providers.
This latest update just adds to the already strained provider/payer relationship.
Cigna is coming under fire for its new policy requiring submission of office notes with all claims including evaluation and management (E/M) codes 99212, 99213, 99214, and 99215 and modifier -25 when a minor procedure is billed.
Cigna says...
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