36 Guidelines to Evaluate a Practice Management

Need to know where to begin:

  • Financial Management – Billing and Collections
  • Financial Management – General
  • Personnel Management
  • Marketing and Practice Promotion
  • Self Development
  • Leadership Skills

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Are You Confused About Out-of-Network Reimbursements?

Do you want to know more about 3rd-Party Agreements, What is an assigned benefit, What is a Limited Benefit Plan? Then this is the article for you.

Information from Collect Rx

Assisting the Elderly with Virtual Visit, How to Bill.

If your office assist a patient that does not have the technology to complete a virtual visit with another physician, while the patient is having an in patient visit at your office, can you bill?

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Cigna’s response to COVID-19

Cigna Coronavirus (COVID-19) Interim Billing Guidance for Providers for Commercial Customers. Updated October 30, 2020 – Highlighted text indicates updates.

As the COVID-19 pandemic continues, we appreciate that providers across the country are on the front line to offer dedicated care to our customers and help protect local communities.

As federal guidelines continue to evolve in support of the COVID-19 pandemic, we have again extended our interim coverage accommodations for commercial Cigna medical services, as follows:

  • The cost-share waiver for COVID-19 diagnostic testing and related office visits is extended until January 21, 2021.
  • The cost-share waiver for COVID-19 related treatment is extended until December 31, 2020.
  • Some other interim accommodations (e.g., for credentialing and authorizations) are extended through December 31, 2020, as outlined on this page.
  • The interim COVID-19 virtual care guidelines as outlined on this page are in place until December 31, 2020. Beginning January 1, 2021, we will implement a new Virtual Care Reimbursement Policy. Please visit CignaforHCP.com/virtualcare for additional information about this new policy.

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Understanding Complex Out-of-Network Reimbursements, CollectRx 10/22/2020

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E/M Coding Changes are Coming. Effective 1/1/2021

CPT E/M Office Revisions, Level of Medical Decision Making (MDM) Table 10/13/2020

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Medical Necessity 2021 Coding Quick Reference Sheet

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2021 Evaluation and Management Code Revisions Helpful Links and Other Resources 10/12/2020

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CPT® Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99XXX) Code and Guideline Changes

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