CODING & DOCUMENTATION EDUCATION FOR HEALTH CARE PROVIDERS
Cigna is committed to being the partner of choice for providers. The Chronic Care Quality Initiative (CCQI) team develops coding and documentation education for providers, designed to support clinicians in developing an accurate coding and documentation skill set. Precise coding and documentation supports high quality patient care delivery, with the hope of reducing administrative burdens to your practice and your Cigna patients.
The Centers for Disease Control keeps a pulse on E-cigarettes, Vaping, and associated lung injury impact in the United States. A new ICD-10 code will be assigned for E-cigarette Vaping Associated Lung Injury (U07.0) effective April 1, 2020. Educating providers in the utilization of the new code will assist in accurate documentation and coding. Need more information? Please check out the link at ICD10monitor.
The Centers for Disease Control has released a new ICD-10 Code for 2019-nCoV acute respiratory disease (U07.1) effective April 1, 2020. For more information regarding documentation, coding and billing in response to 2019-Novel Coronavirus (COVID-19) please visit https://medicareproviders.cigna.com.
|New for 2020: 360 Interactive Provider Partnership Guide||New for 2020: ICD-10 Provider Partnership Guide|
|The 2020 360 Interactive Provider Partnership Guide is an easy to use digital guide. Quick access to the guide on a mobile device, laptop or desktop provides clinicians with a digital reference while completing a 360 Comprehensive Assessment. Valuable information including “Page-by-Page Completion” and “Compliance Checklist” improve the quality and reduce errors in the completed 360 Comprehensive Assessment. The updated “Submitting Information” pages allow providers to enjoy one reference to meet all their 360 Comprehensive Assessment questions from start to finish.||The 2020 ICD-10 Provider Partnership guide is an easy to use digital guide. Quick access to disease specific documentation and coding education on a mobile device, laptop or desktop, provides clinicians with a digital reference for accurate documentation and coding. Use of the ICD-10 Provider Partnership guide improves documentation and coding quality. This searchable guide provides 24 common disease topics easily accessible by the clinician in the comfort of his or her office or home.|
Educational Resources for Providers
On-Demand 360 Education
- 360 Comprehensive Assessment Form
- New Providers:
- Established Providers:
Disease-Specific Training Sessions
Each of the courses below is less than 30 minutes and has been approved for continuing medical education units:
- Atrial Fibrillation - New!
- Cerebral Vascular Accidents
- Congestive Heart Failure - New!
- Chronic Kidney Disease
- Chronic Obstructive Pulmonary Disease
- Congestive Heart Failure
- Diabetes Mellitus
- ESRD Presentation: Documentation
- Parkinson's Disease
- Peripheral Arterial Disease - New!
- Rheumatoid Arthritis
- Stroke Presentation: Documentation
- Substance Use/Abuse/Dependence
- Tobacco Use/Abuse
Please note: only desktop playback is available using Chrome, Internet Explorer, or Safari. No mobile devices can be used for playback purposes.
Population Health Resources
- Learn more about the Centers for Medicare and Medicaid Services Healthcare Effectiveness Data and Information Set (HEDIS)
- Strategies to Improved Chronic Disease Documentation
Behavioral Health Screening Tools
Cigna provides many behavioral health screening tools, including the PHQ-9 screening tool for depression, online at Cigna.com/health-care-providers/resources/body-mind.
Alternatively, the Geriatric Depression Scale (GDS) is an established and reliable instrument designed to identify symptoms specific to older adults. Long-form GDS questionnaires and Short-form GDS questionnaires are available on the Agency for Healthcare Research and Quality website.
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. If you would like more information, please email us at ProviderEducation@Cigna.com.
- 2020 ICD-10-CM Quick Reference Code Guide
- Coding Best Practices Guidelines
- ICD-10 Code Clarification List
Sensitive Diagnosis 2019 The U.S. Department of Health and Human Services (hhs.gov) and specific state laws provide explicit guidance when caring for those with diagnoses that are sensitive in nature. Utilizing the Sensitive Diagnosis flyer, which highlights lists of common sensitive codes, may improve documentation and coding of these diagnoses.
Coding and Documentation Submission Update Effective July 1, 2019 Medicare Advantage has implemented a 90 day submission period. This change provides consistency for the submission of all patient prospective forms and aligns with the Centers for Medicare and Medicaid Services (CMS) amendment submission of addendums to 90 days.
Cigna's Mission Statement Is:
"To improve the health, well-being, and peace of mind of those we serve."
Providers must be diligent about confirming the accuracy of their diagnoses and ensure that their diagnosis and coding practices comply with all applicable legal requirements.
Failure to address recurrent diagnosis inaccuracies can, in some cases, result in administrative sanctions and potential financial penalties.