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Stealth Downcoding and What You Can Do About It

Stealth Downcoding and What You Can Do About It


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by Patricia McKinnon, R.N., M.S.N., C.C.S., C.P.C., C.C.S.-P.
Statistical evidence is missing, but anecdotal reports from practices are depressingly consistent: it appears that some insurance carriers have stepped up their downcoding. This means you may not be receiving as much as you should. Fortunately, there?s a way to determine whether your practice is being underpaid by carriers who apparently have decided to make medical decisions. More important, there?s something you can do about it.