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
Example sentencesExamples
- So, some of physicians charges for critical care services are automatically downcoded and some are not.
- Several lawsuits by providers charge Aetna and other insurers with programming their systems to ‘downcode’ claims, resulting in reduced reimbursement.