Cigna Healthspring Coding Guidelines

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2019 Best Practices and Guidelines For Risk - Cigna

Details: The Coding Advisory Committee comprises of Cigna-HealthSpring varied coding representation. This entity provides the foundation for the establishment of acceptable CMS RADV guidance for HCC diagnosis coding, as well as ICD-10-CM coding guidelines that are applied to all Cigna-HealthSpring coding initiatives. cigna clinical policy guidelines

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› Url: https://www.cigna.com/static/docs/medicare-2019/hcp-icd-10-coding-best-practice-guidelines.pdf Go Now

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Cigna Medicare 2020 Best Practices and Guidelines For Risk

Details: coding guidelines that are applied to all Cigna Medicare coding initiatives. In keeping with the committee mission of balancing ICD-10-CM diagnosis code assignment with CMS Risk Adjustment Data Validation guidelines, the members of the Coding Advisory Committee will perform in the following capacities: 1. cigna healthspring medical policy guidelines

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› Url: https://medicareproviders.cigna.com/static/medicareproviders-cigna-com/docs/icd-10-coding-best-practices-guidelines.pdf Go Now

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Cigna-HealthSpring Claims Processing Guidance for

Details: Cigna-HealthSpring Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) September 2014 Page 1 Note: The following guidelines were established by CMS for entities submitting claims to Medicare contractors; Cigna-HealthSpring will be following the same guidelines. sure your billing and cigna clinical practice guidelines

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› Url: https://www.cigna.com/static/docs/starplus/icd10-claims-processing-guidance.pdf Go Now

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PROVIDER EDUCATION: IMPROVE YOUR CODING …

Details: Cigna is committed to the health of our Medicare Advantage beneficiaries, and to taking 2020 Best Practices and Guidelines for Risk Adjustment and ICD-10-CM Coding Disease-Specific Training Sessions Cigna HealthCare of St. Louis, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Florida, Inc., Bravo Health Mid cigna healthspring dental provider directory

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Corporate Compliance Program Cigna Medicare

Details: Cigna-HealthSpring will review your coding and may review medical records of providers who continue to show significant variance from their peers. Cigna-HealthSpring strives to ensure compliance and enhance the quality of claims data, a benefit to both Cigna-HealthSpring’s medical management efforts and our provider community. cigna medical policy guidelines

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› Url: https://www.cigna.com/medicare-2018/healthcare-professionals/provider-manual/corporate-compliance-program Go Now

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A guIde to CIgNA’S PReVeNtIVe HeALtH CoVeRAge

Details: related to prevention of falls. All standard correct coding practices should be observed. Additional information about preventive care guidelines is available in the health care professionals section of Cigna’s Informed on Reform website: InformedonReform.com. This information does not supersede the specific cigna home health care coverage

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› Url: https://www.cigna.com/assets/docs/health-care-professionals/807467h-Preventive-Health-Cov-Guide.pdf Go Now

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Orthotic Devices and Shoes - Cigna

Details: plans. Coverage Policies are not recommendations for treatment and should never be used as treatment guidelines. In certain markets, delegated vendor guidelines may be used to support medical necessity and other coverage determinations. Overview This Coverage Policy addresses orthotic devices. cigna medical policy coverage guidelines

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› Url: https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0543_coveragepositioncriteria_orthotic_devices_shoes.pdf Go Now

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Coverage Policies Cigna

Details: How to access Cigna coverage policies. The most up to date and comprehensive information about our standard coverage policies are available on CignaforHCP, without logging in, for your convenience.. You can also refer to the Preventive Care Services – (A004) Administrative Policy for detailed information on Cigna's coverage policy for preventive health services.

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› Url: https://www.cigna.com/health-care-providers/coverage-and-claims/policies/ Go Now

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Colorectal Cancer Screening and Surveillance - Cigna

Details: delegated vendor guidelines may be used to support medical necessity and other coverage determinations. Overview This Coverage Policy addresses screening and surveillance testing regimens for colorectal cancer. Coverage Policy In certain markets, delegated vendor guidelines may be used to support medical necessity and other coverage determinations.

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Cigna Medical Coverage Policies – Musculoskeletal Epidural

Details: Cigna Medical Coverage Policies Musculoskeletal Epidural Steroid Injections Effective March 15, 2020 Instructions for use The following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain standard Cigna benefit plans and are used by

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› Url: https://www.evicore.com/-/media/files/evicore/provider/network-standard/cigna_cmm-200-epidural-steroid-injections_final_eff03152020.pdf Go Now

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ICD-10 Code Clarification List - Cigna

Details: All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. using all available coding resources, including the educational materials available on Cigna Healthspring is committed to helping its providers submit accurate and complete codes that correctly reflect the health status

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› Url: https://medicareproviders.cigna.com/static/docs/medicare-2019/hcp-icd10-code-clarification-list.pdf Go Now

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A guide to CignA’s Preventive HeAltH CoverAge for health

Details: To determine if your patient’s Cigna administered plan covers preventive care at 100%, visit the Cigna for Health Care Professionals website (CignaforHCP.com) to verify benefit and eligibility information, or call 1.800.88Cigna (882.4462). For patients with a …

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› Url: https://www.cigna.com/assets/docs/health-care-professionals/807467_d_PreventiveHealthCovGuide_v8_HR.pdf Go Now

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Telehealth and Telemedicine Quick Reference Guide - Cigna

Details: All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. …

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› Url: https://starplus.cigna.com/static/starplus-cigna-com/docs/providers/telehealth-telemedicine-covid-19-quick-reference-guide.pdf Go Now

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Varicose Vein Treatments - Cigna

Details: plans. Coverage Policies are not recommendations for treatment and should never be used as treatment guidelines. In certain markets, delegated vendor guidelines may be used to support medical necessity and other coverage determinations. Overview This Coverage Policy addresses varicose vein treatment.

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› Url: https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0234_coveragepositioncriteria_varicose_vein_treatments.pdf Go Now

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Transthoracic Echocardiography in Adults - Cigna

Details: treatment and should never be used as treatment guidelines. In certain markets, delegated vendor guidelines may be used to support medical necessity and other coverage determinations. Overview This Coverage Policy addresses non-stress transthoracic echocardiography (TTE) in an adult age 18 or older. Coverage Policy Nonvalvular heart disease

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› Url: https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0510_coveragepositioncriteria_transthoracic_echocardiography.pdf Go Now

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Cigna 2020 Health Care Professionals Provider Manual for

Details: MEDICARE ADVANTAGE . 2020. HEALTH CARE PROFESSIONALS . PROVIDER MANUAL . 2020 Cigna Medicare Provider Manual - Version 4 INT_20_82989_C Page 1 of 123

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› Url: https://medicareproviders.cigna.com/static/medicareproviders-cigna-com/docs/medicare-provider-manual-2020.pdf Go Now

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Denosumab - Cigna

Details: published updated guidelines in 2016 addressing diagnosis and treatment of postmenopausal osteoporosis. This update expanded the diagnosis of osteoporosis to include patients with osteopenia and an increased fracture risk using FRAX® country-specific thresholds (for the US, 10-year probability of hip fracture of 3% or greater or

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› Url: https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ph_1212_coveragepositioncriteria_denosumab.pdf Go Now

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Cigna COVID-19 Medicare Advantage Billing & Authorization

Details: Exceptions: No authorizations are required for in- or out-of-network providers for the following: SARS-CoV-2 testing Treatment services associated with a COVID-19 diagnosis For further information on Prior Authorization Guidelines, click here. Post-Acute Care, DME and Elective Procedures Cigna has made the modifications below to the initial clinical reviews, DME and …

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› Url: https://medicareproviders.cigna.com/static/medicareproviders-cigna-com/docs/coronavirus-billing-guidelines-faq.pdf Go Now

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CHCP - Resources - Cigna's response to COVID-19

Details: Cigna Coronavirus (COVID-19) Interim Billing Guidance for Providers for Commercial Customers. Last updated January 21, 2022 – Highlighted text indicates updates On January 14, 2022, the Secretary of Health and Human Services (HHS) renewed the national public health emergency (PHE) period for COVID-19 through April 15, 2022.Consistent with …

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Provider Education and Assessment Tools Cigna Medicare

Details: PROVIDER EDUCATION AND ASSESSMENT TOOLS. Cigna is dedicated to supporting quality patient care in your practice. We offer convenient webinars, disease-specific education, guides, tools, and resources to help you: Stay current on the latest trends in chronic condition prevention and treatment. Streamline and support precise coding documentation.

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› Url: https://medicareproviders.cigna.com/icd-10 Go Now

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Cigna Medical Coverage Policies – Radiology Chest Imaging

Details: CH-1.1: General Guidelines – Chest X-Ray 6 CH-1.2: General Guidelines – Chest Ultrasound 6 CH-1.3: General Guidelines – CT Chest 7 CH-1.4: General Guidelines – CTA Chest (CPT® 71275) 7 CH-1.5: General Guidelines – MRI Chest without and with Contrast (CPT® 71552) 7 Chest Imaging Guidelines V1.0

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› Url: https://www.evicore.com/-/media/files/evicore/provider/network-standard/2020/cigna_chest_final_v10_eff021720_pub111819.pdf Go Now

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Cigna Medical Coverage Policies – Radiation Therapy

Details: ©2019 eviCore healthcare Radiation Therapy Guidelines Cigna Medical Coverage Policies Radiation Therapy Effective July 1, 2019 _____ Instructions for Use . The following coverage policy applies to health benefit plans administered by Cigna. Coverage policies

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› Url: https://www.evicore.com/-/media/files/evicore/provider/network-standard/cigna---radiation-therapy_v202019_eff07012019_pub04012019.pdf Go Now

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Preventive Care Coverage Guidelines Cigna

Details: Preventive Care Guidelines. Learn about how Cigna administers coverage for Preventive Health Benefits, how to find the appropriate vaccinations for adolescent patients, how to identify and respond to common behavioral issues, and more. Cigna Preventive Care Services Administrative Policy [PDF] replaces the guide to Cigna's Preventive Health

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Cigna Policy/Physician Assistants Medical Billing and

Details: Thanks for the reply. Cigna will credential, if the provider directly contracts with Cigna. We have a group contract. Like I said, the rep I talked to just kept referring me to their online policies. I asked if they followed Medicare guidelines for incident-to, …

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› Url: https://www.aapc.com/discuss/threads/cigna-policy-physician-assistants.124690/ Go Now

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CIGNA’S VIRTUAL CARE REIMBURSEMENT POLICY

Details: Cigna Behavioral Health and Cigna Medicare Advantage customers continue to have covered virtual care services through their own separate benet plans. For more information about current Cigna Behavioral Health virtual care guidance, please visit CignaforHCP.com > Resources > Behavioral

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cigna healthspring billing guidelines – Medicare Whole Code

Details: cigna healthspring billing guidelines. January 18, 2019, admin, Leave a comment. AARP health insurance plans (PDF download) Medicare replacement (PDF download) AARP MedicareRx Plans United Healthcare (PDF download)

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› Url: https://www.medicarewholecode.co/cigna-healthspring-billing-guidelines/ Go Now

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Cigna Medical Coverage Policies – Radiology Abdomen Imaging

Details: not recommendations for treatment and should never be used as treatment guidelines. This evidence-based medical coverage policy has been developed by eviCore, Inc. Some information in this coverage policy may not apply to all benefit plans administered by Cigna. These guidelines include procedures eviCore does not review for Cigna. Please refer

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Cigna Medical Coverage Policies – Radiology Preface to the

Details: The cobranded Cigna-eviCore healthcare (eviCore) evidence-based, proprietary clinical guidelines evaluate a range of advanced imaging and procedures, including CT, MRI, PET, and Cardiac interventions. Cigna and eviCore reserve the right to change and update the guidelines. The guidelines undergo a formal review annually.

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› Url: https://www.evicore.com/-/media/files/evicore/provider/network-standard/cigna_preface_final_v10_eff020121_pub10302020.pdf Go Now

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Telehealth/Telemedicine COVID-19 Billing Cheat Sheet

Details: Cigna None Specified 11 AETNA None Specified 11 Humana None Specified 02 Humana MA None Specified 02 Humana Military Check plan specific guidelines Telehealth Visits (Audio/Visual required) New Patients Code Brief Description Who can bill Payers Accepted Allow Audio Only Modifiers Needed POS 99201-99205 New patient E&M office visit

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› Url: https://files.nc.gov/hiea/documents/files/Telehealth-Coding-Cheatsheet_0.pdf Go Now

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2019 Best Practices and Guidelines For Risk Adjustment and

Details: The Coding Advisory Committee comprises of Cigna-HealthSpring varied coding representation. This entity provides the foundation for the establishment of acceptable CMS RADV guidance for HCC diagnosis coding, as well as ICD-10-CM coding guidelines that are applied to all Cigna-HealthSpring coding initiatives.

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› Url: https://www.readkong.com/page/2019-best-practices-and-guidelines-for-risk-adjustment-and-1407681 Go Now

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hcp-icd-10-coding-best-practice-guidelines.pdf - 2019 Best

Details: The Coding Advisory Committee comprises of Cigna-HealthSpring varied coding representation. This entity provides the foundation for the establishment of acceptable CMS RADV guidance for HCC diagnosis coding, as well as ICD-10-CM coding guidelines that are applied to all Cigna-HealthSpring coding initiatives.

› Verified 7 days ago

› Url: https://www.coursehero.com/file/48545147/hcp-icd-10-coding-best-practice-guidelinespdf/ Go Now

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Evernorth Provider - Resources - COVID-19: Interim Guidance

Details: Interim billing guidelines for Coronavirus (COVID-19) Coverage of behavioral telehealth sessions. Behavioral telehealth sessions are available to covered patients and are administered in accordance with their behavioral health benefits. Prior to rendering services, you should verify behavioral health benefits and eligibility for all plan types

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› Url: https://static.evernorth.com/assets/evernorth/provider/resourceLibrary/behavioralResources/doingBusinessWithUs/cbhDbwcCOVID-19.html Go Now

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ICD-10 Information Cigna STAR+PLUS

Details: ICD-10 Resource Center. Cigna is committed to the health of our Medicare Advantage beneficiaries, and to taking reasonable steps in an effort to ensure coding accuracy and completeness. As part of those efforts, we provide coding education that is intended to assist our providers in submitting accurate and complete coding.

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› Url: https://starplus.cigna.com/health-care-providers/updates-and-education/provider-education/icd10 Go Now

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Cigna Commercial Membership Clinical Guidelines

Details: These guidelines are written to cover medical conditions as experienced by the majority of individuals. However, these guidelines may not be applicable in certain clinical circumstances. eviCore's clinical guidelines may include information …

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Prior Authorization List State-Specific Cigna-HealthSpring

Details: Cigna-HealthSpring Referral Policy . Cigna-HealthSpring values the PCP’s role in directing the care of customers to the appropriate, participating health care professionals. Participating specialists are contracted to work closely with our referring PCPs to enhance the quality and continuity of care provided to Cigna-HealthSpring customers.

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› Url: https://secure.cigna.com/static/docs/medicare-2018/prior-authorization-list-tx.pdf Go Now

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does cigna allow incident to billing

Details: CignaHealthSpring does not disclose member information to anyone without obtaining consent from an authorized person(s), unless we are permitted to do so by law. number and the “incident-to” guidelines below are met. has Incident-to enables a limited license practitioner to bill under a physician and be paid at the full physician fee …

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Vicky Garretson, CPC - Provider Education Specialist

Details: Cigna-HealthSpring. Jan 2013 - Present8 years 8 months. Mobile, Alabama Area. Skills. - Extensive knowledge of ICD-10-CM coding principles and guidelines. - …

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Kamiesha Borden, RHIT, CCS-P - Coding Quality Review and

Details: Responsible for review and coding of medical record documents being delivered to the Cigna-HealthSpring by physicians. Monitor compliance and accuracy of physician documentation and report back to

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Dear Valued Provider: POS 02 Behavioral Health - Cigna

Details: All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that

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› Url: https://starplus.cigna.com/static/starplus-cigna-com/docs/providers/covid-19-telemedicine-services-codes.pdf Go Now

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Chrysten Reinold, JD, CPC, CPCO - Legal Compliance Advisor

Details: Review all documentation from Health Assessment providers for compliance under Medicare and Cigna HealthSpring guidelines. Report instances …

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Health Care Providers Cigna CarePlan of Texas

Details: The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. Selecting these links will take you away from Cigna.com.

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Melissa Pontoo, CPC - Provider Service Analyst - Cigna

Details: Cigna-HealthSpring. Apr 2016 - Present5 years 4 months. Responsible for providing education and training to physician groups/offices on correct coding initiatives, reporting on …

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Patricia White, CPC - Medical Records Coder/Auditor

Details: Cigna-HealthSpring. Aug 2013 - Jan 20146 months. Houston, Texas Area. Remote/Field HEDIS auditor. Captured and auditied physician practice records to ensure proper coding and HEDIS guidelines were

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Allison D'Angelis, CPC, CRC - Quality Review and Audit

Details: Cigna-HealthSpring 3 years 11 months •Conduct reviews/audits on coded records to ensure that the assigned ICD-9 codes follow guidelines and are supported by the clinical documentation

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Dana Heckart - Quality Review and Audit Lead Analyst

Details: Dana Heckart Quality Review and Audit Lead Analyst at Cigna Bethpage, Tennessee, United States 500+ connections

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