FC Billing LLC
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Big update for TMS providers 🚨
As of March 6, Cigna Evernorth no longer requires prior authorization for TMS treatments. That means faster access to care and fewer administrative hurdles moving forward.
👉 Important reminders:
• Patients before March 6 still require pre-auth
• Always verify coverage (TMS eligibility, copay, deductible, coinsurance)
• Documentation is more critical than ever — include failed therapies, medication history, and clinical necessity
⚠️ With reduced pre-auth requirements, there may be increased post-treatment record reviews, so accuracy and completeness are key.
📌 Make sure to review the Cigna Evernorth TMS documentation guidelines thoroughly and follow them closely.
03/04/2026
Collecting patient balances in a TMS practice shouldn’t feel like a constant challenge. Many collection issues can be prevented by setting clear financial expectations before treatment begins. Verifying coverage, accurately calculating patient responsibility, and communicating costs upfront helps reduce surprises and keeps revenue flowing smoothly.
ALERT FOR SPRAVATO PRACTICES! There is a CPT code change you must be aware of —
S0013 is now J0013
Make sure to check individual
contracts with insurance to see which code they are accepting for reimbursement because some insurance have yet to upgrade to the new J-code.
Follow us to stay updated on future billing changes!
medicalbillingandcoding fcbilling
02/19/2026
Collecting patient payments is only part of the process.
Posting those payments accurately is just as critical. Simple errors—like applying a payment to the wrong account—can create unnecessary rework and patient confusion. Always double-check account numbers to keep records clean and workflows efficient.
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19415 Deerfield Avenue
Leesburg, VA
20176
Opening Hours
| Monday | 9am - 5pm |
