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2011 key findings of the Quality and Utilization Management ProgramWe encourage and promote effective, efficient, and safe behavioral care and services. In 2011, more than 11,000,000 customers benefited from our efforts to improve customer satisfaction and results. Every year, achievements and opportunities for improvement are identified. Clarifying mental health parity's role in utilization reviewMental health parity laws and regulations have caused insurance carriers to adjust coverage. As a result, our behavioral health utilization review process has made appropriate changes to be in compliance with these laws and regulations. New automated interactive voice response system (IVR)We’re upgrading our interactive voice response (IVR) automated telephone system. This upgrade was designed to provide a more efficient experience for our medical, behavioral and dental health care professionals and customers. We worked with an industry leading technology company to launch the new system in July 2012, and will continue the process through October 2012. Ask not for whom the (school) bell tolls: psychiatric approaches to school refusalSchool refusal is a common problem among young school-age children and early adolescents. This article describes both assessment and treatment at multiple levels of a child’s social ecology. This includes multimodal therapeutic approaches, which are often required for successful resolution of the problem. Locating a health care professionalWe provide 24-hour telephone support to help our customers identify appropriate health care professionals in our network. As part of that support, Cigna staff members are ready to research and provide referrals to specific health care professionals. Medical record keepingOur record-keeping standards are consistent with requirements outlined by the National Committee for Quality Assurance and incorporate Medicare & Medicaid Services (CMS) requirements. Important remindersImportant reminders and tips for submitting claims. These helpful hints are offered so that we may improve our claim processing efficiency and you can get paid more quickly. |
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"Cigna” is a registered service mark, and the "Tree of Life" logo and "GO YOU" are service marks, of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries, including Cigna Behavioral Health, Inc., and not by Cigna Corporation. All models are used for illustrative purposes only. 808353 07/12 © 2012 Cigna. Some content provided under license. |
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