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BLOGS
I'm an RCM Expert. I Just Became a Patient Statistic in the UNC-Cigna Dispute.
Published: October 27, 2025 Last Updated: October 27, 2025 Author: Marketta Burrell, CRCP Company: RevQuest LLC Important Disclaimer: This content is provided for educational and informational purposes only and does not constitute legal, medical, or professional advice. Healthcare compliance requirements can vary by state, payer, and type of practice. Readers should consult with qualified healthcare attorneys, compliance professionals, and their professional advisors bef
3 days ago12 min read
I Built Downcoding Defense Tools Nine Months Ago. This Week, NBC News Proved Why.
This article examines how Cigna Healthcare’s R49 policy and NBC News' recent investigation reveal a growing challenge for healthcare providers and how our Downcoding Defense Tools help practices stay compliant and protect their revenue.
Oct 145 min read
Aetna CCRP + Cigna R49: The Quiet Expansion of Payer Downcoding Policies (2025)
Aetna’s CCRP quietly began downcoding high-level E/M claims in March 2025, joining Cigna’s R49 policy effective Oct 1. Providers face hidden revenue loss, delayed payments, and rising admin burden. Learn how Downcoding Defense™ tools protect your practice.
Sep 296 min read
In fact, one healthcare provider we worked with achieved 132% of monthly collection goals.
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