Cigna Updates Physical Therapy Coverage Policy
Cigna has updated their medical coverage policy for outpatient physical therapy services. The effective date for the revised policy is
The content here is for members only log in here or sign up.
I hope you found this information helpful. Thank you for being a Gold Member!
All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.
This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.
As always, thank you Rick for keeping us updated with the latest changes in outpatient rehab.
Rick.
Thanks for the update! We have run into an isolated issue with Humana PPO – Commercial plan (is what our billing Dept has told me). This particular Humana plan has authorized surgery and PT pre-op and has now decided to recind payment and denying PT payment based on coding. Our billing manager has been losing sleep over this for a week now. NO ONE at Humana has been able to figure it out either. Including supervisors.
Fortunately today , she found a 2 minute video clip about the way Humana wants the coding performed effective 1/2021. They’re requiring both the GP and 97 modifiers in order to be paid. UNREAL! Haven’t seen this with any other plans even within Humana.
Just wanted to share in case you’re peppered with similar questions.
Thanks!
Ed Vezzola, PT