Dear Providers, Claimpower identified an issue where Aetna is reimbursing CPT 99214 and 99215 at a down-coded rate. Under Aetna’s Claim and Code Review Program, these higher-level E/M services are downcoded due to their Evaluation and Management (E&M) Program. What’s Happening? Aetna partnered with a third-party vendor to review E&M coding. This vendor assesses whether Level 4 and 5… Continue Reading