Cigna E/M Policy Change: Stop Cuts of Over $52 Per Claim

Length: 60 Minutes Expert: Maya Turner, CPC, CPB, CPMA, CPCO, CFPC, CRC, CPC-I (AAPC Approved Instructor) CEU: AAPC Approved 1.0 CEU and PAHCOM Approved 1.0 CEU
$277.00
$917.00

Important Notice: Effective October 2025, the new Cigna E/M policy changes how your level 4 and 5 outpatient claims are calculated, resulting in a loss of over $52 per visit.

The new Cigna 2025 E/M rule means that every time you submit a claim for a level 4 (99204, 99214) or level 5 (99205, 99215) office visit, it can be downcoded by one level, reducing your reimbursement significantly.

So, how can you avoid losing a big chunk of your Cigna E/M revenue?

Let coding expert Maya Turner, CPC, CPB, CPMA, CPCO, CFPC, CRC, CPC-I (AAPC Approved Instructor) help.

This training will show you exactly how to submit error-proof Cigna E/M claims, avoid downcoding, and maximize your practice revenue.


Did you know that this online training is included in the 3-Month All Access Pass?

That’s right! You can get this training only starting at $277 OR purchase the 3-Month All Access pass, currently available for LESS than the price of 2 trainings combined, and you and your entire team can access ALL online trainings – that’s over 200 of them!


Here are just a few of the practical strategies Maya will provide you with during her 60-minute training that will help you with Cigna’s E/M policy changes:

  • Identify critical phrases your documentation requires to avoid downcoding
  • Determine how consult codes are affected by the new Cigna E/M policy
  • Implement a simple checklist to choose the right E/M code level every time
  • Master MDM charts to ensure you’re not upcoding E/M claims
  • Follow key time-based coding guidance to more accurately select between 99214 99215
  • Identify what stands out to auditors when they’re reviewing your E/M documentation
  • Utilize a few simple questions to better apply code 99204 99205.
  • Resolve red flags in your documentation that can get your E/M claims downcoded
  • And much more!

Every single time Cigna downcodes one of your level 4 and level 5 claims, you’ll lose over $52 in reimbursement that is rightfully yours. Imagine how quickly this will multiply if dozens of these claims are downcoded every week.

This new Cigna coding change affects every specialty (regardless of your practice’s size and location). They can cause you to lose significant amounts of revenue and become an audit target – unless you know how to fight back against them.

Sign up now for Maya’s training event to protect your reimbursement from this Cigna E/M policy change and stop your claims from being downcoded. Register today!

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Meet Your Expert

Maya Turner
CPC, CPB, CPMA, CPCO, CFPC, CRC, CPC-I (AAPC Approved Instructor)Managing Director, Turner Expert Consulting Services, LLC

With her nearly 30 years of experience in revenue cycle management, coding compliance, and education, Maya’s dynamic teaching style and unparalleled expertise will undoubtedly enrich the learning experience for our participants, ensuring a comprehensive and engaging educational journey. A seasoned certified coder and auditor, boasting of nearly 30 years of experience and subject matter expert to many coding compliance subjects, she especially is sought after for her in depth knowledge base of pro fee multi-specialty practice, primary care, hospitalists, telehealth, inpatient, as well as SNF. She is also a published author having written articles for AAPC and HCCA, and currently is a part of the ACDIS Leadership Council. She’s scheduled to speak at such venues as HealthCon, and HCCA’s Compliance Institute.

She showcases her unmatched three-dimensional thinking in complex subject matters, Mayas’ success is marked by her clear and well received presentation style, reflecting her profound understanding and expertise. Maya also has a consulting service called Turner Expert Consulting Services, LLC. This venue allows her to assist other entities and provide training and expertise outside of her current employer. It’s with this, bringing her great joy to assist others in any way she can.

Reviews

Very well put together presentation with material and explanations.
Isabel Suire
Manager, Nath Billing
Great subject and great presenter. Excellent presentation.
Ricardo Peraza
Administrator, Design Neuroscience Center