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August 8, 2025
In this episode, Scott, Mark, and Ray discuss the troubling expansion of automatic E/M downcoding by payers—and what your practice can do about it. Mark explains which payers are leading this trend, how to identify if your claims are being affected, and practical steps to reverse these denials and protect revenue. Then, the team unpacks the recent news about UnitedHealthcare dropping certain Medicare Advantage plans, what it really means, and how to prepare your front desk and billing staff for potential patient coverage changes. Stay informed, stay proactive!
PRS Coding and Reimbursement Hub
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Free Kidney Stone Coding Calculator
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PRS Coding Courses
For Urologist
For APPs
For Coders, Billers, and Admins
PRS Billing and Other Services - Book a Call with Mark Painter or
Marianne Desciose
Click Here to Get More Information and Request a Quote
Join the Urology Pharma and Tech Pioneer Group
Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.
https://www.prsnetwork.com/joinuptp
Click Here to Start Your Free Trial of AUACodingToday.com
The Thriving Urology Practice Facebook group.
The Thriving Urology Practice Facebook Group link to join:
https://www.facebook.com/groups/ThrivingPractice/
By Mark Painter, Scott Painter and Dr. Ray Painter4.8
1414 ratings
August 8, 2025
In this episode, Scott, Mark, and Ray discuss the troubling expansion of automatic E/M downcoding by payers—and what your practice can do about it. Mark explains which payers are leading this trend, how to identify if your claims are being affected, and practical steps to reverse these denials and protect revenue. Then, the team unpacks the recent news about UnitedHealthcare dropping certain Medicare Advantage plans, what it really means, and how to prepare your front desk and billing staff for potential patient coverage changes. Stay informed, stay proactive!
PRS Coding and Reimbursement Hub
Access the Hub
Free Kidney Stone Coding Calculator
Download Now
PRS Coding Courses
For Urologist
For APPs
For Coders, Billers, and Admins
PRS Billing and Other Services - Book a Call with Mark Painter or
Marianne Desciose
Click Here to Get More Information and Request a Quote
Join the Urology Pharma and Tech Pioneer Group
Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.
https://www.prsnetwork.com/joinuptp
Click Here to Start Your Free Trial of AUACodingToday.com
The Thriving Urology Practice Facebook group.
The Thriving Urology Practice Facebook Group link to join:
https://www.facebook.com/groups/ThrivingPractice/

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