In this section, you’ll find:
To learn more about what measures can be impacted by 360, click here.
The 360 Comprehensive Assessment is an important part of the Cigna Healthcare Medicare Advantage 2023 yearly health check-up benefit. It combines aspects of a physical wellness visit and preventive care to provide a complete picture of your patients’ health.
360 Comprehensive Assessment objectives
The 360 Comprehensive Assessment is an important tool that helps you provide quality care for Medicare Advantage patients – at no added cost to patients. Providers can receive additional funding for administrative reimbursement with participation in these programs, above and beyond what is reimbursed for the standard CPT evaluation and management (E&M) or G codes.
We encourage providers who are not utilizing Arcadia or Optum platforms to complete a Health Management Report (HMR) for their Cigna Healthcare Medicare Advantage patient during a face-to-face visit. The administrative payment will be sent to you once the submitted HMR and corresponding clinical notes are verified.
Receive additional funding beyond administrative reimbursement for standard CPT evaluation and management (E&M) or Healthcare Common Procedure Coding System (HCPCS) Level II G codes.
Codes to consider
Initial and periodical comprehensive preventive medicine CPT codes (99381–99397) can be reported for services performed during the completion of the 360 Comprehensive Assessment and Health Management Report. The comprehensive nature of these preventive services represents an age- and gender-appropriate history and examination. In addition, the services include counseling, guidance, and risk factor reduction interventions. Please refer to the AMA CPT manual for complete guidance on these codes.
The Medicare Annual Wellness Visit codes can be reported if a provider complete the 360 form during the course of the Medicare wellness visit.
The Medicare G codes may not be reported more than once a year. Claims may be denied if the codes have been previously reported during the year. This may also apply to the preventive services codes.
These codes are provided as guidance only. Any code selection must be based on the services actually performed and documented in accordance with procedural coding guidelines.
These CPT II codes can be used to document your health conversations around the following topics related to CAHPS Star measures:
Your patients can track their preventive care with their Passport to Health.
Your strong recommendation is a critical factor for your patients to get a flu vaccine.
Consider the SHARE initiative to guide flu vaccine conversations with your patients.
The Centers for Disease Control and Prevention (CDC) SHARE3 initiative can help guide conversations with your patients.
62% of Star-rated CAHPS survey questions are geared toward patients’ experiences with your office (staff and providers).
For more information on how Stars are measured, visit CAHPS.
3. For a downloadable educational flyer for your staff, go to (CDC.gov) > Health Topics A-Z > I > Influenza Vaccination > Health Professionals > Make a Strong Flu Vaccine Recommendation > Get the Toolkit > Make a Strong Influenza Vaccine Recommendation.