Don’t wait until October. Now is the time to review your current E/M coding practices to ensure you’re prepared for Cigna’s changes.
What You Need to Know
Cigna’s R49 policy tightens reimbursement criteria for evaluation and management (E/M) services. While the changes officially take effect October 1, the impact could be felt immediately if your coding isn’t up to date. Aetna and other payers are following similar trends, making proper coding more important than ever.
Why Timely Action Matters
Incorrect or incomplete coding can result in down coding, delayed payments, or even payment retractions. Providers who take a proactive approach now can minimize risk, maintain compliance, and protect revenue. Waiting until the last minute could leave your practice vulnerable to denials or reduced reimbursement.
How HealthRecon Connect Can Help
At HealthRecon Connect, we combine deep coding expertise with proactive auditing to make sure every claim you submit stands up to payer scrutiny – and gets you paid what you’ve earned. Our Coding Services ensure that your claims are accurate, compliant, and fully supported – BEFORE they ever reach Cigna’s review desk. Here’s how we protect your revenue:
- Expert E/M Auditing – Thorough review to catch errors before submission.
- Provider Education & Feedback – Empowering your team with best practices and updates.
- Proactive Compliance Checks – Stay ahead of evolving payer rules.
- Appeal Support – Assistance when a claim is challenged or downcoded.
The Bottom Line
Cigna’s R49 policy is part of a broader trend of payers tightening reimbursement standards. Partnering with a trusted coding expert like HealthRecon Connect helps you stay ahead, reduce risk, and secure the revenue your practice has earned.
Learn more from Cigna’s official post: Cigna R49 Policy
