Together with 20 physician specialty organizations, AGA sent a letter to the Center for Consumer Information and Insurance Oversight to increase oversight of health plans that are automatically “down-coding” evaluation and management (E/M) claims. Several insurers, including Aetna, Cigna, Anthem, and Humana, have adopted systems that automatically adjust E/M CPT code levels based on time and complexity.
Leading efforts in insurance oversight (AGA)
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