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AI downcoding reader survey
1.
In the past 12 months, how often have your claims been downcoded by a payer?
Never
Rarely
Occasionally
Frequently
Constantly
2.
Which services get downcoded most often in your practice?
E/M office visits
Procedures
Preventive visits
Behavioral health
Other
3.
Do you believe AI or automated software is driving the downcoding you see?
Yes
No
Not sure
4.
Which payer downcodes your claims most often?
UnitedHealthcare
Cigna
Aetna
Elevance (BCBS)
Humana
Other
5.
When a claim is downcoded, how often does your practice appeal?
Always
Often
Sometimes
Rarely
Never
6.
Of the downcoding appeals you file, how many succeed?
Most
About half
Few
None
We don't track
7.
Roughly how much staff time per week goes to fighting downcoding and denials?
None
Less than 1 hour
1 to 5 hours
5 to 10 hours
More than 10 hours
8.
What would help your practice most?
State laws requiring human review
Payer transparency on algorithms
Faster appeals
Better documentation tools
Penalties for improper downcoding
9.
Optional: Share a downcoding experience you would be willing to let us quote.
