Auditing Antics Podcast: No Chart Review, Just Downcode: What Providers Need to Know

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Starting October 1, 2025, both Aetna and Cigna are set to implement automatic downcoding policies for evaluation and management (E/M) services, without even reviewing clinical documentation. In this episode of Auditing Antics, we break down what this means for providers, the compliance and reimbursement risks ahead, and how you can prepare to push back. Join us as we discuss the implications of payers playing doctor and the ripple effects for coding integrity, audits, and ultimately patient care.#EMServices #EMAuditing #MedicalCoding #CodingUpdates #CodingChanges #HealthcareCoding #HealthcareAuditing #RevenueCycle #ComplianceMatters #CodingCompliance #PayerPolicy #InsuranceChanges #DowncodingDebate #ProviderAdvocacy #ProtectProviders #FairReimbursement #CodingIntegrity #PayerWatch #HealthcareEquity #HealthcareNews #HealthcarePolicy #HealthSystem #MedicalNews #PracticeManagement #ProviderSupport #DocumentationMatters #CodingCommunity #AuditorLifeReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry!https://www.stephanieallardconsulting.com/auditing-antics-podcastView our compliance consulting, auditing, and education services here! https://www.stephanieallardconsulting.com/servicesView our Coding Compliance Connection membership here! https://www.stephanieallardconsulting.com/membership View our online shop here! https://www.stephanieallardconsulting.com/online-shopView our Etsy shop here!https://sallardconsulting.etsy.com