It has come to our attention that major changes are in the works for Cigna providers. Here is a simple list:
- In several states we have seen Cigna propose a rate that is closer to the Medicare Clinical Fee Schedule versus the Medicare Physician Fee Schedule. This is a huge problem as the clinical fee schedule pays about 50% of the physician fee schedule. The most interesting thing noted here is that they are proposing these rates to PHO’s and stating that this is the current CMS fee schedule. It is, but it’s the wrong fee schedule! Be aware.
- In another move, Cigna has lowered the filing limit on some contracts from 180 to 90 days.
Again this is just another play by the payers to limit payment for services.