News and Announcements
Cigna Post-payment Claim Review Vendors
Cigna Healthcare® partners with specialized vendors that conduct post-payment claim reviews. The following vendors may contact you on behalf of Cigna Healthcare in connection with a post-payment claim review:
- Optum – began conducting reviews in 2025 and will continue in 2026.
- Claritev – began conducting reviews in April 2026.
- CERIS – expected to begin reviews in summer 2026.
Training to Create a Specialist Referral in UHC portal: View the video
Monica Blackwell of UHC and Fran Parker of MetroCare present information on the specific plans/specialties, how to/who from your practice should access the portal to create or receive the referrals before the end of the grace period can negatively impact claims for some UHC MA plans. Contact This email address is being protected from spambots. You need JavaScript enabled to view it. to access a video and slide deck from that webinar.
May is Mental Health Awareness Month
“Pencils, Pressure, and Panic: Mental Health at Back to School.”
Anxiety affects 1 in 4 children and is now the most common mental health diagnosis in youth, prompting new recommendations for routine screening in pediatric and primary care settings.Together, we will explore how schools, healthcare providers, and communities can better recognize anxiety, reduce stress, and support children as they return to the classroom.
This July, Dr. Alicia Barnes will help our community prepare for the back‑to‑school season with a timely and practical talk: Wednesday, July 15 12:15-1:00 PM online RSVP here
Dr. Alicia Barnes, DO, MPH, is the Urban Child Institute Endowed Chair of Excellence in Child and Adolescent Psychiatry and Associate Professor at University of Tennessee Health Science Center. She serves as Chief of Psychiatry at Le Bonheur Children’s Hospital. She leads multisector mental health initiatives with a system of care approach. She also serves in leadership roles on the Executive Board for AACAP(American Academy of Child and Adolescent Psychiatry and as President of the Tennessee Society of Child and Adolescent Psychiatry.
Upcoming Specialty Coding Topics: click here to RSVP
Protecting Against Downcoding: Live Lunchtime Webinars on Documentation for E&M
Three Dates for your convenience: July 21 August 6 August 12 12:15 - 1:00
Jun 5: 9 AM Basic Coding Principles
1 PM Basic Anatomy & Terminology
Jun 12: 9AM Chart Auditing
1 PM Reviewing Compliance Plans
Jul 10: 9 AM External Causes
1 PM Pediatrics (repeat)
Jul 17: 9 AM Preventive Services
1 PM Coding Chronic Disease
Aug 7: 9 AM Op Notes (repeat)
1 PM Urology (repeat)
Aug 14: 9 AM Integumentary (repeat)
1 PM Three Hours of Modifiers
LUNCHTIME SESSIONS WITH KAREN
Jun 3/17 NCCI Edits and Modifiers
Protecting Against Downcoding: Live Lunchtime Webinars on Documentation for E&M
Three Dates for your convenience: July 21 August 6 August 12 12:15 - 1:00
SVMIC MONTHLY LUNCHTIME PRACTICE MANAGEMENT SESSIONS
Jun 18: Make Kind & Honest Feedback a Team Habit
Jul 23: Patient Experience: Why It is More Than Customer Service
Aug 20: Revenue Cycle Management
Sep 24: Navigating the No Surprises Act: Ensuring Compliance and Transparency
Oct 22: HR Do’s & Don’ts
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PAYER AND MANAGEMENT INFORMATION click image for access
