MMA Joins Letter to Cigna on Easing Administrative Burdens

April 27, 2023

The MMA and 107 other healthcare advocacy groups signed on to a letter sent April 18 to Cigna leadership, expressing concerns with its forthcoming policy that requires the submission of office notes with all claims including evaluation and management services, and modifier 25 when a minor procedure is billed. 

“We urge Cigna to reconsider this policy due to its negative impact on practice administrative costs and burdens across medical specialties and geographic regions, as well as its potential negative effect on patients,” said the letter signed by 41 state medical associations and 67 specialty groups.  

The letter-writers suggested collaborating with Cigna on different ways to ensure the correct usage of modifier 25 that do not unfairly punish the majority of physicians and other healthcare professionals that code appropriately. 

“There is a growing problem with physician burnout, and policies like these are adding to that burnout,” said MMA President Will Nicholson, MD.  “This proposed requirement adds hassles and burdens that don’t improve patient care.” 

Latest News

Legislative Session Starts; MMA to Focus on 5 Major Issues

February 19, 2026

State lawmakers returned to St. Paul on February 17 for the second half of the 2025-2026 biennium. 

MMA Leaders Testify on Medicaid Cuts

February 19, 2026

On the second day of the legislative session, MMA leadership was already advocating for one of its top priorities - minimizing the harm of federal changes to Medical Assistance (MA). 

MMA Priority Bill on AI and Prior Auth Already Moving at the Capitol

February 19, 2026

Legislation to prohibit the use of artificial intelligence (AI) in prior authorization requirements was heard in the House Commerce Finance and Policy Committee on February 19.