We are excited for all of the value-based payer agreements in place for calendar year 2021. If anyone has questions regarding the agreements or your participation, please contact Dr. Bailey.
- Anthem Commercial – Cooperative Care
- Anthem Medicare Advantage
- Cigna Commercial – COVID Care
- Humana Medicare Advantage (limited participation)
- UnitedHealthcare Commercial
- UnitedHealthcare Medicare Advantage
Cigna Paying for TOC Codes Beginning January 17, 2021
Cigna knows how important it is to support providers in the important work of transition of care, so beginning Jan. 17, they will begin reimbursement for the Transitional Care Management CPT codes 99495 and 99496. If you are interested in learning more on utilizing these codes or how the C3 care management team can support you in using these codes, please contact Dawn Morrissey.
UnitedHealthcare MA Annual Wellness Visit Incentive Program
As you are aware, UCHealth Coordinated Care Colorado (C3) has entered into an ACO agreement with UnitedHealthcare Medicare Advantage that includes annual shared savings and stars bonus opportunities. We are pleased to announce that C3 will also offer an annual wellness visit incentive program for performance year 2021, in conjunction with the UnitedHealthcare MA contract, in order to jump-start performance in this new agreement.
From 1/1/2021–12/31/2021, C3 will provide an additional incentive payment for the completion of an annual wellness visit for each attributed UnitedHealthcare MA patient. This payment will be paid quarterly and is in addition to your regular fee-for-service reimbursement for these services.
Eligibility will be determined by UnitedHealthcare Medicare Advantage as noted with a completed Annual Care Visit (ACV) and includes visit types billed as G0402, G4038-G4039, and any other codes that qualify as UnitedHealthcare Medicare Advantage ACV.
Please see the attached PDF for more information or contact Dawn Kilgore, senior director of finance, to learn more.
Cigna Paying for TOC Codes Beginning January 17, 2021
Cigna knows how important it is to support providers in the important work of transition of care, so beginning Jan. 17, they will begin reimbursement for the Transitional Care Management CPT codes 99495 and 99496. If you are interested in learning more on utilizing these codes or how the C3 care management team can support you in using these codes, please contact Dawn Morrissey.