Episode 149: Coded Out of Cash: How Cigna’s New Policy Could Be Costing Your Practice—and What to Do About It

Send us Fan MailWhat if your most complex visits were being paid as basic ones—and no one on your team even noticed?That’s not a hypothetical. It’s happening right now.Today we’re talking about something that could be quietly draining your revenue, hurting your bottom line, and going completely unnoticed by your billing team: automatic downcoding of high-level E/M visits. This is a new policy from Cigna, and they're not alone. Other major payers—including UHC—are doing the same thing. And they’re doing it in a way that makes it difficult to detect, hard to fight, and shockingly easy to miss.If you're a physician, a practice administrator, a billing leader—anyone responsible for the financial health of your practice—this episode is critical listening. Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill’s company, Health e Practices’ website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/ Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/