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Cigna’s New E/M Policy: How to Prevent $52+ Per Claim Losses

By - Maya Turner, CPC, CPB, CPMA, CPCO, CFPC, CRC, CPC-I (AAPC Approved Instructor)

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Starting this October, Cigna’s new E/M policy will automatically downcode Level 4 (99204, 99214) and Level 5 (99205, 99215) office visit claims by one level—slashing your reimbursement by over $52 per claim. For busy practices, these cuts can add up to thousands of dollars lost each month.

So, how do you protect your revenue and stop Cigna from unfairly reducing your payments?

Join nationally recognized coding expert Maya Turner for a 60-minute, high-impact training session designed to help you avoid downcoding and secure every dollar your practice deserves. Maya will walk you through the documentation essentials, coding strategies, and compliance tips you need to apply immediately.

Learning Objectives:

  • Key documentation phrases that safeguard your claims from downcoding
  • How Cigna’s policy impacts consult codes and what adjustments you must make
  • A simple checklist for selecting the correct E/M level every time
  • How to leverage MDM charts to avoid upcoding and downcoding traps
  • Critical time-based coding guidance to distinguish between 99214 vs. 99215
  • The red flags auditors watch for in your E/M documentation
  • Easy-to-use tools for deciding between 99204 vs. 99205
  • Strategies for addressing multi-rate claims and audit vulnerabilities

Every time Cigna downcodes a claim, your practice loses revenue you’ve rightfully earned. With dozens of claims at risk each week, the financial impact could be devastating—unless you know exactly how to fight back.

This policy change affects all specialties, all practice sizes, nationwide. Don’t wait until your revenue drops. Attend this training to ensure your team is fully prepared.

Register today to safeguard your E/M claims and protect your bottom line.

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Speaker Detail

Maya Turner, CPC, CPB, CPMA, CPCO, CFPC, CRC, CPC-I (AAPC Approved Instructor)

With nearly 30 years of experience in medical coding, auditing, compliance, and revenue cycle management, Maya Turner is a nationally recognized expert and educator in the healthcare compliance community. She holds multiple AAPC certifications and is an AAPC Approved Instructor, bringing both technical expertise and real-world insight to her training sessions. Maya’s specialties span multi-specialty physician practices, primary care, hospitalists, telehealth, inpatient services, and skilled nursing facilities. She is a frequent speaker at national conferences including AAPC’s HealthCon and the HCCA Compliance Institute, and serves on the ACDIS Leadership Council. Her work has been published in AAPC and HCCA journals, further establishing her as a trusted authority on complex coding and compliance issues. As Managing Director of Turner Expert Consulting Services, LLC, Maya provides specialized training and consulting to healthcare organizations across the country. Known for her clear, engaging teaching style, she helps providers and practices simplify complex compliance challenges and maximize revenue integrity.

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