Watch for Payer Automatic Down-Coding Without Notice
Update: 2025-11-25
Description
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.
Subscribe and Listen
You can subscribe to our podcasts via:
- Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627
- Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX
- TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
- YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
- YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ
- Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
- Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
- iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
The post Watch for Payer Automatic Down-Coding Without Notice appeared first on Terry Fletcher Consulting, Inc..
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