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.
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.
