How to Prepare Your Practice for Cigna’s Modifier 25 Changes
Are you a healthcare practice or provider that has to deal with Cigna insurance? If so, it's time to pay attention.
Healthcare workers face troubling changes to Cigna's impending modifier 25 requirements. These adjustments will impact how practices submit medical records and manage their billing processes, forcing organizations like yours to find creative solutions to adapt and stay compliant.
The bright side? With top-notch remote medical billers readily available, there has never been a better time to get ahead or take steps toward a smooth transition.
Read on as we explore what you need to know about Cigna’s modifier 25 regulations and how to prepare your organization for this important upcoming change.
Understanding Cigna’s Modifier 25 Changes: What You Need to Know
Initially set to go into effect on May 25th, 2023, Cigna’s updated modifier 25 requirements would force medical practices to submit medical records for all evaluation and management (E/M) claims billed with CPT codes 99212-99215 and a minor procedure.
Experts at the American Medical Association say these requirements will “negatively impact practice administrative costs across medical specialties and geographic regions” and undermine patient health. Under pressure from health practitioners, on May 23rd, 2023, Cigna
announced an indefinite delay to their long-dreaded update at the last minute.
But just because Cigna is kicking the can down the road doesn't mean you should breathe a sigh of relief. As far as we know, these changes are still in the pipeline, meaning that your practice is not out of the woods yet.
To avoid a costly transition when judgment day finally comes, you can continue to provide top-notch patient care while remaining in line with Cigna’s policies with a bit of proactive planning and preparation.
How to Make Sure Your Practice Stays Compliant
It's normal to feel overwhelmed by the upcoming changes, but compliance is key to avoiding financial repercussions.
With the extra breathing room, your team has a golden opportunity to position yourself for success.
Dos:
- Take steps to ensure your practice will be prepared to meet the new requirements.
- Stay informed about any new changes and communicate them to your staff to ensure everyone is on the same page.
- Reach out to medical billing professionals for advice and consultation.
Don'ts:
- Wait until the last minute to review and update your policies and procedures.
- Develop a “know-it-all” or “do-it-myself” attitude.
- Pretend these changes will never happen or that you can get by without adapting.
Failure to act appropriately could put your patients and practice at risk. Instead, ensure you take steps to meet the new requirements by exploring all solutions, like remote medical billing services.
Remote Medical Billers Can Help You Prepare for the Changes
Remote medical billers can play a crucial role in helping you navigate these shifts and ensure your practice stays financially stable. With expertise in various coding systems and billing regulations, they can streamline operations and minimize errors or compliance issues, no matter what happens.
Remember: staying solvent is not just about adhering to current requirements; looking ahead and anticipating future changes is equally important. Remote billers who stay up-to-date on the latest industry developments, like Cigna’s modifier 25 updates, can advise you on potential impact and help you make strategic decisions to stay ahead of the curve.
The Benefits of Working with an Expert Team of Remote Medical Billers
Why settle for mediocre results when you can achieve exceptional outcomes by working with a team of expert remote medical billers?
The advantages are undeniable. Foremost, a team of specialists brings a wealth of knowledge and experience to the table that cannot be matched. Remote billing professionals will:
- Know the ins and outs of the billing process
- Stay up-to-date with the latest changes in the industry
- Quickly find and fix errors
- Reduce denials and rejections
- Get you more reimbursements
Outsourcing your medical billing also lets you focus on what you do best—delivering top-quality patient care. By delegating billing responsibilities to a capable team dedicated to supporting and growing your practice, you’ll:
- Save time
- Cut costs
- Alleviate burnout and stress
- Increase patient satisfaction
- Improve team cohesion
Best of all,
professional medical billers like DrCatalyst can submit medical records and file appeals for you when Cigna implements its new modifier 25 requirements. That way, neither you nor your patients will bear the burden these changes will impose. And in case the industry faces similar challenges in the future, you’ll carry on as if they never happened.
With little to lose and much to gain, hiring a group of remote medical billers is a smart investment that will benefit your business for years to come.
Get Started Now—Ensure Your Practice is Compliant with Cigna’s Modifier 25 Changes
Cigna’s updated modifier 25 requirements may pose challenges, but with the proper preparation and support, your practice can manage them without missing a beat. To stay ahead of the changes and maximize profitability, we recommend using a remote medical biller that can help streamline the process.
DrCatalyst has been successfully helping practices adapt to billing changes for years. Our team of experienced professionals not only handles your claims but provides crucial advice regarding compliance and best practices for preventing issues in the future.
Connect with DrCatalyst's
revenue cycle management team now to get started!
