January 2010

Modifier and Payment Policies

CIGNA now applies its reimbursement and modifier policies to claims submitted to Great-West Healthcare as of August 6, 2009. While the policies have been integrated, the procedure for submitting claims remains the same. Refer to the Great-West Healthcare Integration News article in the July 2009 issue of the Network News (www.cigna.com > Health Professionals > Newsletters) for detailed information about the reimbursement and modifier policy integration.

Reimbursement Policies

• National Correct Coding Initiatives (NCCI) Editing for Facilities (NEW) - A NCCI Editing for Facilities policy was implemented beginning December 1, 2009.
• Refractive Vision Services - The Refractive Vision Services policy was posted on October 15, 2009 as a guideline to promote transparency of the existing submission and reimbursement process for refractive vision services.  This policy does not represent a substantive change in policy, process or reimbursement. 

Visit www.cignaforhcp.com > Resources > Modifiers and Reimbursement Policies for more information on CIGNA Modifiers and Reimbursement Policies or to view the policies.

Featured Articles
- New eCourses Available
- Laboratory Services
- CIGNA Cost of Care Estimator
- DME Transitioning to CareCentrix
- Tobacco Cessation
- Submitting H1N1 Claims

Great-West Healthcare Integration News
Transitioning to the CIGNA Brand
- Participant ID Cards
- Explanation of Payment Changes
- Electronic Transaction Changes

Administrative Updates
- Reference Guides Available Online
- Precertification of Coverage
- CIGNA Medicare Access®
- Submitting Information Changes
- Modifier and Payment Policies
- Go Green! Go Electronic!
- Use the Network
- Tools for Improving Claim Processing
- Access the Network News Archives!