Billing Audits

Clean Claims Strategies, Billing Audits, Denial Management

Cigna R49 Policy: What Medical Practices Need to Know About the New E/M Downcoding Regulation

Cigna R49 Policy: Navigating the New E/M Downcoding Landscape Understanding the Most Controversial Billing Policy Change of 2025 On October 1, 2025, Cigna Healthcare implements one of the most significant and controversial billing policy changes in recent years. The new…

Billing Audits

Medical Billing Audit Checklist: Provider Insights 2024-25

As the healthcare industry evolves, so too must the practices that govern medical billing. Accurate and compliant medical billing is crucial for providers to ensure financial stability and to minimize legal risks. In this article, we will provide a robust…

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