The Down-Coding Report opens on the Summary tab, which provides an at-a-glance dashboard of your down-coding activity for the selected time period. Use the date range selector at the top to change the reporting period, and use the Print or Export to Excel options to save or share the results. The “Data as of” timestamp indicates when the underlying data was last refreshed.
The Summary tab is organized into the following cards:
- Claim / Procedure Count: Displays the total number of Claims Down-Coded and Procedures Down-Coded for the period, each accompanied by a donut chart comparing down-coded claims against all other claims.
- Top Providers With Down-Coded Claims: Lists the top 5 rendering providers with highest down-coding claim count, with a supporting donut chart showing each provider’s share.
- Top Procedures with Down-Coded Claims: Lists the top 5 procedure codes with highest down-coding claim count, with a supporting donut chart showing each procedure’s share.
- Payers With The Most Down-Coded Claims: Lists the top 5 payers with highest down-coding claim count, helping you focus follow-up on specific payers.
- Top CARC Codes Down-Coded: Lists the top 5 Claim Adjustment Reason Codes with highest down-coding claim count, giving insight into why the adjustments occurred.
- Top Remark Codes Down-Coded: Lists the top 5 Remittance Advice Remark Codes with highest down-coding claim count, for additional context on the payer’s adjustment.
Together these cards let you quickly identify the providers, procedures, payers, and reason codes that are driving down-coding so you know where to investigate further using the Advanced Search.
