Cigna is moving forward with an updated version of a paperwork demand it paused last year amid criticism from medical groups, the California Medical Association said March 16.
The CMA said in a post on its website that the policy, set to go into effect nationwide May 25, is "essentially the same policy" that was paused in 2022. That proposal required the submission of medical records for all evaluation and management claims with CPT 99212-99215 and modifier 25 when a minor procedure was billed.
The CMA and the American Medical Association argued the policy would result in significant unnecessary administrative burden and compliance cost to physician practices. The CMA also expressed concerns that it would discourage physicians from providing unscheduled services and would create duplicate requests, wasting healthcare dollars.
The CMA, the AMA and other state and specialty societies are reaching out to Cigna regarding ongoing concerns with the policy, according to the post.