1Designate (a medical procedure or insurance claim) with a lower value: an insurer who systematically downcodes professional charge submissions for critical care services [no object]: we cannot turn to Medicaid to pay if Medicare downcodes
More example sentences
- Several lawsuits by providers charge Aetna and other insurers with programming their systems to ‘downcode’ claims, resulting in reduced reimbursement.
- So, some of physicians charges for critical care services are automatically downcoded and some are not.
- Example sentences
- In the same letter, they pointed out that there is no support for this practice - termed ‘downcoding ‘- in either Oxford's provider manual or New York state law.’
- Downcoding is common among family physicians.
For editors and proofreaders
What do you find interesting about this word or phrase?
Comments that don't adhere to our Community Guidelines may be moderated or removed.