
Episode 149: Coded Out of Cash: How Cigna’s New Policy Could Be Costing Your Practice—and What to Do About It
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What if your most complex visits were being paid as basic ones—and no one on your team even noticed?
That’s not a hypothetical. It’s happening right now.
Today we’re talking about something that could be quietly draining your revenue, hurting your bottom line, and going completely unnoticed by your billing team: automatic downcoding of high-level E/M visits. This is a new policy from Cigna, and they're not alone. Other major payers—including UHC—are doing the same thing. And they’re doing it in a way that makes it difficult to detect, hard to fight, and shockingly easy to miss.
If you're a physician, a practice administrator, a billing leader—anyone responsible for the financial health of your practice—this episode is critical listening.
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