Watch for Payer Automatic Down-Coding Without Notice

25/11/2025 12 min

Listen "Watch for Payer Automatic Down-Coding Without Notice"

Episode Synopsis

Across the country, commercial payers are quietly down-coding E/M services without issuing ADRs and without providing notice. Office visit reimbursements are being arbitrarily reduced based on payer algorithms rather than a proper review of documentation for compliance.
In today’s CodeCast episode, Terry sheds light on this growing problem and explains how to take proactive steps to not only challenge it but also prepare for it.
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