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Practice Management Alert

Reader Questions:

Can Payers Downcode My Claims Without Warning?

Published on Tue Nov 16, 2021

Question: A payer I work with consistently downcodes our claims and never gives us warning or asks for documentation to verify the claim. We do not have a lot of Molina patients, but of the ones we do have, every single claim gets downcoded from 99214 to 99213. We do not receive a notice in advance. We do not receive a [...]
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