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Reeling payers plan to increase scrutiny of providers’ coding practices

Summary by Hfma
Health insurers see provider coding practices as one factor in unfavorable cost trends, several companies said during recent earnings calls. Those cost trends, in turn, have driven substandard Q2 financial results. “We know this adjustment is disappointing, and we’re taking concrete actions to address it,” Gail Boudreaux, president and CEO of Elevance Health said recently, referring to the company’s revised financial outlook for 2025. “We are di…
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hfma broke the news in on Tuesday, July 29, 2025.
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