A step-by-step roadmap to protect your revenue before the payer’s automatic downcoding policy takes effect.

A complete 13-day readiness schedule for clinics that want to stay compliant, coordinated, and fully prepared.

A new reimbursement policy, Evaluation and Management Coding Accuracy, will review claims billed with CPT® codes 99204–99205, 99214–99215, and 99244–99245, and if documentation doesn’t meet AMA standards, claims will be automatically downcoded by one level, without any warning.

For providers, that means less revenue loss, fewer denials, and steady cash flow.

The Downcoding Emergency Preparation Timeline provides your practice with a detailed 13-day, role-specific implementation plan, allowing you to prepare efficiently and thoroughly. Each day lists specific tasks, estimated times, and responsible team members — eliminating guesswork from compliance.

While other practices scramble at the last minute, you’ll gain immediate access to the only day-by-day universal downcoding implementation system. Used correctly, this timeline protects your clinic’s revenue through prevention, accuracy, and team readiness.

✅ What’s Inside the Downcoding Emergency Preparation Timeline:

• 13-Day Countdown Plan – Daily, role-specific tasks with time estimates to keep your practice on track.
• Automatic Downcoding Protection – Focused audits and documentation upgrades that directly prevent payer-initiated claim adjustments.
• Template & Workflow Overhaul – EMR templates, superbills, and documentation checklists redesigned to meet AMA standards.
• Staff Training Modules – Provider, billing, and front-office training to close compliance gaps quickly.
• Appeal-Readiness Tools – Pre-built templates and escalation protocols to defend your revenue.
• 72-Hour & 24-Hour Panic Schedules – Emergency fallback plans if your preparation window is short.
• Success Metrics – Daily benchmarks (denial rate, documentation accuracy, revenue impact) so you know if your practice is safe.

⚠️ Remember: Automatic downcoding happens claim by claim. A proactive preparation plan keeps your documentation airtight before payer reviews begin.

💡 Who This Is For:

• Physicians and practice managers who bill high-level E/M codes
• Billing managers who need a structured compliance plan
• Clinics that want to minimize R49 denials and protect revenue.

🔒Don’t wait for a payer adjustment to find out if your documentation passes the test.
Follow this 13-day roadmap and keep your revenue protected.

This is a complete implementation system, not just advice.

Important Legal Notice: These are professional templates and not legal advice. Always align with your clinical documentation, payer contract, and current guidelines.

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Revenue Reset™ is independently created. Not affiliated with or endorsed or affiliated by any payers.

© 2025 RevQuest LLC | Revenue Reset™ Solutions
Universal Edition — Applies to Cigna R49, Aetna CCRP, and Other Payer E/M Review Programs.