In the beginning of the year, Dr. Terry Wagner's office manager came to him and said "something weird is going on." For weeks, the office manager told him, Wagner had been quietly underpaid by the ...

Add Yahoo as a preferred source to see more of our stories on Google. SPRINGFIELD, Ill. (WMBD) — State lawmakers are taking down a new insurance scheme that’s used to short-change doctors. It’s called ...

U.S. physicians routinely are seeing their higher-cost claims downcoded by insurers, a strategy a family physician in Cincinnati called a revenue grab, according to Medscape. Will Sawyer, MD, said ...

Several insurers are automatically downcoding -- and, therefore, paying less for -- claims for non-procedural office visits, a practice that provider groups said is unfair and may be anticompetitive.

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Some insurers are automatically lowering the service levels that doctors submit based on the diagnosis codes. Take steps to make sure your complex cases are paid for fairly. This month's column ...