Fighting & Preventing E&M Down-Coding by Payers

If you've noticed your E&M claims being reimbursed at a lower level than you coded—without explanation—you're not alone. Commercial payers are increasingly down-coding E&M claims arbitrarily, leaving practices with revenue they've rightfully earned sitting on the table.

Our RCM and coding experts will walk you through how to recognize when a claim has been down-coded without clinical justification, how to build a winning appeal with the right documentation, and what you can do proactively to make your claims harder to dispute in the first place.

If your team is already following best practices for MDM and time-based reporting, this session will show you how to protect that work—and get paid for it.

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As a Best in KLAS winner for Ambulatory RCM Services (EHR-Associated), ARIA RCM Services brings proven, top-ranked expertise to end-to-end revenue cycle management.

ARIA Health Services works alongside healthcare practices at every stage of the revenue cycle, offering a team well-versed in payer regulations, audits, recoupments, appeals, and denial resolution.

From denial management and A/R optimization to coding support, operational assessments, and KPI tracking, our full range of RCM services is designed to help clients strengthen their financial performance.

Best in KLAS Ambulatory RCM Services (EHR-Associated)