top of page
BLOGS
I'm an RCM Expert. I Just Became a Patient Statistic in the UNC-Cigna Dispute.
Published: October 27, 2025 Last Updated: October 27, 2025 Author: Marketta Burrell, CRCP Company: RevQuest LLC Important Disclaimer: This content is provided for educational and informational purposes only and does not constitute legal, medical, or professional advice. Healthcare compliance requirements can vary by state, payer, and type of practice. Readers should consult with qualified healthcare attorneys, compliance professionals, and their professional advisors bef
2 days ago12 min read
The $50,000 Mistake: How Cigna’s R49 Policy Could Devastate Physician Practices
With only days left before October 1, physicians must understand what’s really at stake. A mid-sized practice that bills for 20 high-level visits per week could lose $4,000 to $5,000 per month if claims are downcoded. Over 12 months, this amounts to nearly $50K in lost reimbursements.
On October 1, 2025, Cigna Healthcare will enforce its new Evaluation and Management (E/M) Coding Accuracy (R49) Policy. This change is significant for many physicians; it represents a seismic s
Sep 166 min read
In fact, one healthcare provider we worked with achieved 132% of monthly collection goals.
bottom of page