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    Downcoding in Focus: The Hidden Shift Quietly Eroding Physician Group Reimbursement

    07/23/2026

    Webinar

    SKU: 27WEB14

    PriceFREE

    Formats:

    Webinar
    Price:

    FREE


    Available Credits
    • ACMPE: 1.00
    • CEU: 1.00

    Description

    Please log in, add this to your cart and complete the purchase to register.

     If you experience issues registering for this webinar, please email or call the MGMA Service Center at 877.275.6462, ext. 1888 to register.

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    This webinar – scheduled for July 23, 2026, at 1 pm ET (12 pm CT, 11 am MT, 10 am PT) – is eligible for ACMPE and CEU credit and will be made available as a recording.

    Your denial management is sharp, but downcoding slips right past it. When payers pay a claim at a lower level than billed, there's no denial code, no work queue trigger, and no clear owner. The claim is "paid," so it never surfaces. Yet small per-claim reductions compound across volume, creating silent revenue leakage that only appears in aggregate reporting if you're looking for it.

    This practical, vendor-neutral session unpacks why downcoding is becoming a material revenue integrity issue for physician groups, why it's harder to detect than traditional denials, and what's driving payers to favor reimbursement adjustment over outright denial. Grounded in ApolloMD's real-world experience, we'll explore how leading revenue cycle teams are adapting workflows to gain visibility into expected versus actual reimbursement so your group can identify payer patterns earlier and respond proactively.

    This 60-minute webinar will provide you with the knowledge to:

    • Recognize downcoding as a distinct revenue integrity risk — explaining how it differs from traditional denials and why it bypasses standard denial-management workflows in physician group operations
    • Identify why downcoding is increasing now — connecting broader shifts in payer behavior toward reimbursement adjustment and the visibility gaps that let it go undetected
    • Apply practical strategies to surface and act on reimbursement variance — building visibility into expected versus actual reimbursement to catch payer patterns earlier and reduce silent revenue leakage


    Brought to you by Adonis

    Terms of registration: By registering for a complimentary sponsored educational webinar, participants understand that their contact information, excluding phone numbers, will be shared with the specific sponsor. Please reference their website’s privacy policy.


    Continuing Education

    Delivery method: Internet Live Course | Group Internet Based
    Learning level: Intermediate - Education that builds on a basic curriculum, designed to improve your ability to analyze and apply skills learned to a topic or knowledge area.
    Learning format: Traditional
    Prerequisites: A basic understanding of the topic or knowledge area.
    Advance preparation: None
    Duration: 60 minutes

    Claiming Credit: If you wish to claim continuing education credit, you must attend the live webinar and complete the session evaluation in order to meet the requirements of the accrediting organizations.

    • ACMPE, medical practice administrators in certification and Fellowship through ACMPE
    • CEU, generic continuing education credit

    For detailed continuing education credit information, click here.

    **PLEASE NOTE: CEU credit types and totals are listed as a good faith estimate. Actual CEU types and totals offered at time of presentation may vary. Final CEU credit listing will be published on or before the day of the presentation.


    Speakers
    Picture of Chris Pushor

    Chris Pushor
    Director, Revenue Cycle, ApolloMD

    Chris Pushor leads revenue cycle operations at ApolloMD, where he oversees the workflows and performance metrics that keep reimbursement on track across a high-volume physician services organization. He brings a front-line view of how downcoding surfaces in day-to-day operations.

    Picture of Janet Russell

    Janet Russell
    Revenue Integrity Lead, ApolloMD

    Janet Russell drives revenue integrity at ApolloMD, focusing on coding accuracy and the gap between expected and actual reimbursement. She specializes in spotting the payer patterns that traditional denial workflows miss.

    Picture of Michelle Cadrin-Msumba

    Michelle Cadrin-Msumba
    Director, Solutions Design, Adonis

    Michelle Cadrin-Msumba leads solutions design at Adonis, partnering with physician groups to translate revenue cycle challenges into practical, technology-enabled workflows. She brings a cross-organization perspective on building visibility into reimbursement variance.

    Picture of Caroline Boyland

    Caroline Boyland
    Director, Content & Brand, Adonis

    Caroline Boyland leads content and brand at Adonis and moderates the conversation, guiding a practical, vendor-neutral discussion on the operational realities of downcoding for physician groups.


    Technical Requirements

    Webinars are delivered live using online web conferencing software, which allows you to interact directly with presenters and colleagues through your web browser.

    This webinar will be hosted in Zoom Webinars and will consist of a 60-minute presentation and question-and-answer session. You will receive informational emails with instructions to access the live event and related resources, as well as steps to claim continuing education credits.

    Review this resource for participating in Zoom Webinars or test your connection here.


    Refund Policy

    This webinar is sponsored by Adonis. There is no registration fee.

    Live Instructor Cancellation Policy
    If for any reason MGMA must cancel this program, MGMA will notify participants by email of the cancellation no less than 48 hours prior to the expected start time.

    Contact the MGMA Service Center for cancellations or refunds:
    Toll-free:
    877.275.6462, ext. 1888
    Email: service@mgma.org 

    Complaint resolution policy
    Please contact the MGMA Service Center toll-free at 877.ASK.MGMA (275.6462) for issues or concerns with this webinar.




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