All PlansDocumentationMedium impact
Ambulatory medical record reviews
Cigna·Medical Policy
Effective date
Apr 1, 2024
We identified it
Jun 19, 2026
Summary
Cigna Healthcare conducts annual ambulatory medical record reviews to validate network providers meet documentation requirements. The audit checklist emphasizes documenting medication allergies/adverse reactions, alcohol/tobacco screenings, and advance directive discussions as these are most frequently missing from records.
Action Required
Immediately: Providers must ensure medical records include complete documentation of medication allergies with specific adverse reactions, alcohol and tobacco usage screenings, and advance directive discussions. Update EMR templates to include these required fields. Medical records staff should review documentation standards at CignaforHCP.com and send questions to DedicatedAMRRMailbox@Cigna.com. Incomplete documentation may result in audit deficiencies.