Tag Archive | "downcoding"

$325 Million in Office Visit Underpayments! How Much Is Yours?

Monday, April 8, 2019


Audit discussions often focus on the fear of upcoding and having to hope that repaying the extra amount is the worst of the consequences. But downcoding is another problem area affecting your payments and more. Here’s why you should never purposely downcode your services. Start With a CERT Story Wondering about the $325 million in […]

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Are You Leaving Money On The Table?

Wednesday, June 27, 2012


National insurer data reveals that physicians undercode E/M claims to the tune of more than $1 billion every year. This is the money that physicians miss out on by reporting a lower-level E/M code and could have easily seized based on their documentation. Here are three reasons why should you always file claims based on […]

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