Cigna R24 Omnibus Reimbursement Policy - EXCEEDS LIMIT
Cigna updated their policy for A4556 which only allows 48 pairs of electrodes per calendar year? If it is medically necessary to bill for more units, how can I get these denials reversed and paid? Please help.
re: Cigna R24 Omnibus Reimbursement Policy - EXCEEDS LIMIT
Here is a link to the URL for the policy change with Cigna "Omnibus Reimbursement Policy "https://static.cigna.com/assets/chcp/secure/pdf/resourceLibrary/clinReimPolsModifiers/R24_Omnibus_Reimbursement_Policy.pdf
I would suggest contacting your provider representative to verify dates and appeals for coverage.
This is on Cignas web site;
"Before beginning the appeals process, please call Cigna Customer Service at 1(800) 88Cigna (882-4462) to try to resolve the issue. Many issues, including denials related to timely filing, incomplete claim submissions, and contract and fee schedule disputes may be quickly resolved through a real-time adjustment by providing requested or additional information."