This article examines how Cigna Healthcare’s R49 policy and NBC News' recent investigation reveal a growing challenge for healthcare providers and how our Downcoding Defense Tools help practices stay compliant and protect their revenue.
As the healthcare industry braces for the implementation of Cigna's new Evaluation & Management (E/M) Coding Accuracy Policy (R49), providers are scrambling to understand its implications. The policy goes into effect on October 1, 2025, which is less than one week away.
This policy is more than just a quality-control measure; it's a strategic move that could significantly impact your practice's revenue. Opponents argue that Cigna's R49 policy is also a cost-saving strategy
Sep 244 min read
In fact, one healthcare provider we worked with achieved 132% of monthly collection goals.
