Aimeelb
New
I keep receiving denials from Cigna where they are bundling 99215 with the chemo admins we are billing. We are applying the appropriate modifiers. The strange thing is we can bill the exact same charges with 99214 or 99213 and they do not get bundled but if its 99215 it gets bundled. when I call Cigna (their out sourced provider service dept.) they claim its a new Medicare rule. I've googled and googled and can't find any proof of this. I've submitted appeals and 1 in 5 will reprocess for payment. I can't get a access to a "local" provider rep to speak to me. I've called credentialing and that gets me no where either. I can't find any info to back up their bundling and its like my hands are tied in fighting it. has anyone else had this issue with this denial???? and Cigna is the ONLY insurance carrier we are seeing this with.