Cigna Policy Change on Modifier QZ Payment

Abstract

Payment & Practice Management| April 2023 Cigna Policy Change on Modifier QZ Payment Helen Olkaba, MS Helen Olkaba, MS Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor April 2023, Vol. 87, 31. https://doi.org/10.1097/01.ASM.0000925008.28735.94 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation Helen Olkaba; Cigna Policy Change on Modifier QZ Payment. ASA Monitor 2023; 87:31 doi: https://doi.org/10.1097/01.ASM.0000925008.28735.94 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: modifiers Effective March 12, 2023, Cigna will reduce payment on services reported with modifier QZ by 15%. Modifier QZ identifies services provided by CRNAs without medical direction of a physician. According to Cigna, this was done to align payment with other advanced practice providers (e.g., nurse practitioners). Cigna will only implement this policy change on its commercial lines of business but not on its Medicare Advantage or Medicaid Managed Care lines of business. At this point, it is hard to determine the impact of this payment cut on business models that anesthesia practices are using. ASA will be monitoring the long-term implications of this policy change on anesthesia practices. This policy change makes it important for you to have a clearer understanding of what is considered medical direction versus what is considered medical supervision and the billing modifiers that are associated with them. In order to qualify for medically directed service... You do not currently have access to this content.