Close those Gaps

CLOSE THOSE GAPS

Please fax documentation for closing Cigna MA 360 gaps 


Attention: Leslie (866) 214-5122

Or

Email to [email protected]

2% Medicare Sequester

Back to the ax!

July 1, 2022, CMS will begin sequestering the full 2% off your Medicare payment.

Cigna MA Stars 101 Webinar

NEED A REFRESHER

Register to Join

Cigna MA

Overview of the Stars Program

Cigna’s West Region Stars Team will provide an overview of the Stars Program and available reporting and resources:

  • What is the Star Rating and why is it important
  • Components of the Star Rating
  • A review of available reporting related to Stars
  • Tools and Resources available for your office

Event Number: 179 385 5641

Event Password: stars

June 9th, 1:30 CST

You won't want to miss it!

Virtual Coding and And Quality Symposium

May 13, 2022 from 2pm-4pm CST

Free Training

TWO New Measures for Part C Stars

The Part C Stars Specification Overview has been updated for 2022 Dates of Service.

It includes two new measures –

  • Follow-Up After Emergency Dept Visit for People with Multiple High-Risk Chronic Conditions (FMC)
  • and Transition of Care (TRC).

It’s Only Money

APRIL 1, 2022

$$$

Medicare sequester begins to phase back in at 1%

$$$

And returns to a full 2 % in July

UHC Policy Updates for March 2022

CMS Update: Billing and Coding for Allergy Test

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS)

POET Is Seeing a Trend, UPDATE

On January 5th, Sir Seymore posted on Ink that POET is seeing a trend from Physician Offices that are trying to get a referral from Cigna MA.

Please scroll down to review that post for details.

POET received this information from Cigna MA: “Unfortunately, we’re experiencing a known enterprise-wide issue within the MHK/HSConnect platform that is affecting how many of our participating specialists are reflecting in the dropdown box or search box when attempting to generate a referral. The MHK/HSConnect team is working towards remediation but I have not yet heard when the expected date for completion might be.”

Just a reminder: SCPs do not need a referral due to the Public Health Emergency (PHE). The PHE has been extended until April 16, 2022. 

PCPs and SCPs you are welcome to confirm participation with POET or Leslie.

Per Cigna MA, you should be able to manually enter the specialists’ (SCP) name/NPI for a referral.

Cigna MA, REFERRAL ISSUE