A growing pattern of automated E/M reductions is appearing across multiple states, and most practices won’t see the losses until the month-end numbers don’t add up. Your E/M payments may already be shifting.
Minority-owned healthcare practices face unique RCM barriers that affect cash flow, denials, and compliance. From limited billing technology to payer bias, these challenges cut deep, but they’re fixable. Learn how to strengthen your systems and protect your revenue stability.
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.
Running a healthcare business may cause you to want to handle billing in-house. This method provides comfort, control, and saves on outside service costs.
Jun 22, 20254 min read
In fact, one healthcare provider we worked with achieved 132% of monthly collection goals.
⚠️ Is Your Practice at Risk?
Book a complimentary 15-minute contract risk call this week.
I'll help you identify:
✓ Hidden revenue leaks in your payer contracts
✓ Downcoding exposure you might not see
✓ Early warning signs of contract breakdown