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.
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.
|360 Interactive Provider Partnership Guide||New for 2020: ICD-10 Provider Partnership Guide|
|360 Interactive Provider Partnership Guide provides all the 360 Comprehensive Assessment education, in one location. This easy to use, digital magazine is downloadable to your personal mobile device or desktop for quick reference.||ICD-10 Provider Partnership Guide provides all the disease specific coding and documentation education, in one location. This easy to use, digital magazine is downloadable to your personal mobile device or desktop for quick reference.|
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
- 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
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.