Thank You to Our Podcast Partner (click image to learn more)
UCR 254: Downcoding on the Rise – What to Watch For, and is United Healthcare getting out of Medicare Advantage plans?
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
Free Kidney Stone Coding Calculator
PRS Coding Courses
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.
The Thriving Urology Practice Facebook group.
The Thriving Urology Practice Facebook Group link to join:
https://www.facebook.com/groups/ThrivingPractice/