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If you haven’t heard, or have heard but still can’t get your head around it, let’s walk through what was recently announced by Cigna. Cigna released a new policy set to take effect on October 1, 2025, which will automatically downcode CPTs 99204, 99205, 99214,99215, 99244, and 99245 to a lower level at the point […]

CMS has directed all Medicare Administrative Contractors (MACs) to implement a temporary claims hold: This standard practice is typically up to 10 business days and ensures that Medicare payments are accurate and consistent with statutory requirement The hold prevents the need for reprocessing large volumes of claims should Congress act after the statutory expiration date […]