UCR 292: Downcoding, Record Requests, and Takebacks — Fighting Back Against Payer Tactics

About this episode

The episode discusses payer scrutiny in urology practices and strategies to combat reimbursement issues.

June 12, 2026 In this episode, Scott, Mark, Dr. Ray Painter, and special guest Marianne DeSciose discuss the growing wave of payer scrutiny impacting urology practices, including automatic E/M downcoding, stealth denials, medical record requests, takebacks, and RAC-style reviews. Drawing on real-world experiences from hundreds of recently identified downcoded claims, the team shares practical strategies for detecting reimbursement issues before appeal deadlines expire, prioritizing revenue ...

People in this episode

Hosts: Scott, Mark Painter, Dr. Ray Painter

Guest: Marianne DeSciose

Topics covered

• payer scrutiny
• urology practices
• E/M downcoding
• reimbursement issues
• medical record requests
• revenue management

Keywords

• downcoding
• payer tactics
• reimbursement
• medical records
• RAC reviews
• revenue

Mentioned in this episode

Organizations: urology practices

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