They Want 100 Charts to Audit – REALLY? Audits are on the rise in a major way. Some payers, particularly Medicare Advantage Plans under Humana and BCBS, are targeting vision care submissions made through the vision plan they are subcontracting with for routine care. ... Read More
Unfortunately, down coding of claims is becoming a more common occurrence. Down coding occurs when a payor changes the service code (CPT code) that the provider submitted to one that represents a lower level of service than was actually provided to the patient. This... Read More
