Comment by pragmatic

Insurers (payers in the industry lingo) simply don’t pay or underpay.

Proving this sucks bc smaller practices have horrible staff turnover, the EMRs are dog shit and the contracts are who knows where and in what format.

Recovery is beyond the scope of most small practices.

Its a nightmare where providers are often shorted millions of dollars and that ends up coming out of the patient’s pocket.

Everyone yammering about upcoding on this thread is blissfully clueless.