EFT to Become Cigna’s Required Standard Payment Method

In January 2017, electronic funds transfer (EFT) will become Cigna’s required standard method for providers to receive reimbursement. All providers and facilities must enroll or you will not receive payment.

What is EFT?

  • This is a secure, automated payment method that deposits your reimbursements directly into your bank account. There are many benefits to receiving payments by EFT.
  • It’s a proven method for securely receiving payments.
  • It eliminates the delays associated with paper check mail delivery and handling.
  • You’ll have access to the funds on the same day as the deposit, improving cash flow.

Enrolling for EFT is easy

If you’re already enrolled for Cigna EFT payments, you’re all set – there’s nothing more you need to do. Otherwise, you must enroll using one of the methods below.

  • Cigna for Health Care Professionals website (CignaforHCP.com). Enroll in EFT directly with Cigna by logging in to CignaforHCP.com > Working with Cigna > Enroll in Electronic Funds Transfer (EFT).
  • Council for Affordable Quality Healthcare (CAQH). Enroll in EFT and manage EFT accounts with multiple payers, including Cigna, using the CAQH Solutions EnrollHub at Solutions.CAQH.org.

Electronic remittance advice:
Separate enrollment

When used together, EFT and electronic remittance advices (ERAs) can help eliminate claims payment paperwork and improve your cash flow. To enroll in ERA with Cigna, contact your clearinghouse or electronic data interchange (EDI) vendor.

For more information about managing your EFT enrollment or accessing your remittance reports, go to CignaforHCP.com > Learn About Electronic Solutions > Electronic Payment and Remittance Reports. There is a web-based demonstration on the EFT enrollment process, online remittance, and claim status inquiries available at CignaforHCP.com.

Incorrect CMS PQRS Penalty Notifications

Some of our providers, including those enrolled in the Partners In Care ACO who are exempt from the PQRS program requirements altogether, have received letters from CMS indicating that they will be assessed a penalty in 2017 for failure to comply with the PQRS quality incentive program. CMS has admitted that they have sent some of these letters in error and has created a PQRS Look Up Tool through which providers may verify if their Tax ID Number is actually subject to the 2017 penalty. Providers may go to qnpapp.qualitynet.gov to look up the status of their TIN/NPI combination(s).

PIC Patient Experience Survey

The most successful medical practices recognize that the keys to their success are in understanding and responding to their patients. They recognize that strong financial results depend on understanding their patients’ needs and concerns. Satisfied patients are more likely to recommend your practice to friends and family, and less likely to leave for a competitor, or file a malpractice claim. Measuring patient satisfaction is also a method for monitoring and improving the delivery of care, an important component of accountable care.

In order to assist our member primary care practices in assessing their patients’ experience and to allow Partners In Care to report aggregated patient experience metrics to our contracted insurance carriers, Partners In Care has developed a custom Patient Experience Survey. The survey questions are adapted from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) family of surveys. The questions correspond to the metrics that are contained in our accountable care contracts and include questions that have been shown to statistically correlate with positive provider ratings.

Click here to download the survey. If you have not done so already, please take the time to review the survey with your colleagues and staff members. Also, please present the survey to your patients at the conclusion of their visits, and forward the completed surveys back to Partners In Care. Feedback from the surveys will be provided back to all participating practices periodically.

Information Update Policy

If you are changing your practice address, selling your practice, retiring, moving, adding or dropping providers, adding or dropping a practice location, changing your Tax ID number, or making any other changes to your practice you must alert Partners In Care no later than 30 days after the change by contacting Beverly Reinson, VP Business Operations, at breinson@piccorp.com or (732) 246-0291.

Medicare Launches Improved Hospital Compare Website

Medicare just launched an improved version of its Hospital Compare website to make it easier for you to compare and select the best hospital for you and your family. The enhanced website has added a rating system to analyze beneficiaries’ experience of care. Comparison websites are a valuable source of information about the quality of health care providers and facilities. The new system takes more than 3,500 Medicare certified, acute care hospitals into consideration and evaluates the following areas:

  • The level and quality of communication between doctors, nurses, and beneficiaries
  • The hospital staff’s responsiveness to the beneficiary’s needs
  • The atmosphere and hygiene of the hospital environment
  • The level of comfort beneficiaries feel with post discharge care instructions

Click here to use the newly optimized site.