Category: Uncategorized
OOPS!! Cigna MA Letter ERROR
Apparently a letter went out to some Cigna members that was supposed to be alerting them that the contract with the CHS hospital (WHMC) is being terminated. There was an error in the letter because it stated “Your doctor is leaving the network”. This has caused a flurry of concern and confusion in some areas, as you might imagine. A corrected letter, further clarifying that the entity being terminated is the hospital and not the physician, is expected to go out Oct. 5th.
UHC No Longer Sending PRAs by Mail
PRAs (Provider Remittance Advice) will go paperless by region starting Nov. 12.
Please review this map for effective dates and exclusions by geographical region.
Physician Directory Update
Who needs Google Maps, when you can download the Physician Directory from the POET INK files?
To download your front desk copy, just click.
Provider Star Training
And CMEs to Boot
Cigna Medicare Advantage has two new on-demand webcast available for Stars.
Both of these web-cast have CME credits attached to them.
Check them out, by clicking on their individual button.
Patient Support Programs
Medically complex patients benefit from tailored interventions. Cigna Medicare Patient Support Programs can serve as a customizable adjunct to your treatment plans. All programs are offered at no additional cost to the patient.
BENEFITS
> Short-term and complex care management
> Assistance coordinating services and community resources
> Targeted efforts to prevent or manage exacerbations
RESULTS
> Improved self-management skills
> Improved medication adherence
> Closed gaps in preventive care measures
PATIENT ELIGIBILITY ASSESSMENTS
Email us to request eligibility assessment for your patient:
[email protected]
THRIVE
THRIVE CareAllies’ Provider Newsletter May 2021
Education inside: Obtain Assistance with Coding Accuracy and Documentation, one-on-one education, coding reference tools. Get set up for remote access, email [email protected].
Resource Material inside:
- CoVid Vaccine Flyers
- Call us first: Poster, Wallet Card, Wearable Button, etc.
- NO-SHOW: Poster and Wallet Card (customizable)
Email CareAllies at [email protected] with any topic suggestions for this (your) newsletter.
Step Therapy Requirement
Cigna Medicare Advantatge
The goal of step therapy is to help achieve lower drug prices while maintaining access to drugs for patients.
Certain Part B drugs that currently require precertification will also require step therapy.
The list of drugs that require step therapy can change throughout the plan year.
Cigna Updates
Cigna is pleased to announce we are expanding our Musculoskeletal and Pain Management Program to include select Cigna Medicare Advantage customers.
Beginning June 1, 2021, precertification requests for affected services, including major joint surgery services related to the hip, knee, and shoulder and interventional pain management procedures must be submitted to eviCore instead of Cigna.
CIGNA MEDICARE ADVANTAGE PRIOR AUTHORIZATION PROGRAM – ORIENTATION SESSION SCHEDULE.
Cigna Medicare Advantage has partnered with eviCore healthcare to provide patients with access to high quality, medically appropriate care that is consistent with evidence-based treatment guidelines.
The following procedures will require prior authorization for patients covered by Cigna Medicare Advantage
- Major Joint Services (Hip, Knee, Shoulder)
- Interventional Pain Management Procedures
eviCore healthcare will be leading online orientation sessions designed to assist you and your staff with the new program. For times and how to register click here.
Cigna MA 2nd Qtr News 5/11/2021
Feature Article: Engaging with Patients Virtually, Cigna’s Virtual Care Reimbursement Policy
Policy Updates:
- Preventive Care Services
- Precertification
- Clinical, Reimbursement, and Administrative
General News
- Claim Denial preventive tips
- Appeal Reminders
- and many more to numerous to add
Webinar Schedule for Digital Solutions:
| Topic | Date | Time (CT) | Length | Meeting # |
|---|---|---|---|---|
| Eligibility and Benefits /Cigna Cost of Care Estimator | Wednesday, May 12, 2021 | 12:00 | 60 min | 179 626 8334 |
| EFT Enrollment, Online Remittance, and Claim Status Inquiry | Monday, May 17, 2021 | 11:00 | 60 min | 179 602 5133 |
| Online Appeal and Claim Reconsideration | Wednesday, May 19, 202 | 11:00 | 60 min | 179 487 2665 |
Website Access Manager Training | Wednesday, May 26, 2021 | 11:00 | 60 min | 179 079 6479 |
| CignaforHCP.com Overview | Tuesday, June 1, 2021 | 1:30 | 90 mins | 179 702 7790 |
| Eligibility and Benefits /Cigna Cost of Care Estimator | Wednesday, June 9, 2021 | 11:00 | 60 min | 179 319 4586 |
| EFT Enrollment, Online Remittance, and Claim Status Inquiry | Wednesday, June 16, 2021 | 11:00 | 60 min | 179 225 1773 |
| Online Appeal and Claim Reconsideration | Monday, June 21, 2021 | 11:00 | 60 min | 179 162 7760 |
| Website Access Manager Training | Monday, June 28, 2021 | 11:00 | 60 min | 179 940 8512 |
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