 | |||||
 | |||||
The Practitioner Conection |
The right help at the right time!COORDINATION OF CARE BETWEEN HEALTHCARE PROVIDERSCIGNA promotes communication between Employee Assistance Program (EAP) providers, behavioral healthcare practitioners and Primary Care Physicians (PCPs) to effectively coordinate EAP and behavioral care with medical care. This communication serves as a foundation for collaborative professional relationships and offers members a holistic approach to care focused on improving overall physical and emotional health. On an annual basis, CIGNA monitors the frequency of this communication to identify and address opportunities for improvement and partnership. It is an important component of overall care and specifically noted when an audit or record review is completed on a network provider. CIGNA requires and facilitates the exchange of clinical information between participating EAP providers, behavioral practitioners and PCPs. CIGNA educates members about the value of coordinated EAP, medical and behavioral care and asks them to support this by consenting to the communication with their PCP. As appropriate during care management activity, CIGNA monitors and promotes the exchange of information between EAP, behavioral and medical practitioners. CIGNA’s network practitioners are contractually obligated to coordinate care with PCPs and are informed of specific procedural expectations in the practitioner newsletters and the Medical Management Program (MMP). It is the responsibility of the practitioner to obtain member signatures on all necessary written consent forms, to initiate and maintain direct communication with PCPs, as well as other behavioral practitioners, and to maintain documentation in the member’s medical record of all related communication. Sample forms for communication with primary care physicians can be located in Appendix L of the Provider Guide on the CIGNA Behavioral websitewww.cignabehavioral.com. Please feel free to contact your Professional Relations Representative if you have any questions. Other Featured Articles:AMBULATORY FOLLOW UP AFTER INPATIENT DISCHARGE THE RELATIONSHIP BETWEEN CLAIM SUBMISSION AND ENGAGEMENT OF PEOPLE IN CHEMICAL DEPENDENCY TREATMENT CIGNA EARNS FULL NCQA ACCREDITATION RECEIVING PAYMENT AT THE CORRECT ADDRESS AND CORRECT PAYEE INFORMATION EVIDENCE BASED TREATMENT PLANNING TELEPHONE AND APPOINTMENT ACCESS
Practitioner Connection Home | CIGNA Home | Legal Disclaimer ©2009 CIGNA | ||||
Do members know who you are?
Demographic/
Other Resources