Thanks for sharing that info Linda. Like you said, most people don't bother to appeal, some don't since it isn't a lot of money (per visit) and some because they don't know how. There are two reasons this is not a good idea. 1. It is a lot of money. If they do it repeatedly and if they get away with it, it adds up. 2. The principle of the matter is that the provider is the one who should determine what was done in the visit (assuming the coding is being done properly). Many times the downcoding is done without office notes.I read a statistic once that said that 45% of people interviewed do not appeal a denied claim. Think of the savings for the insurance companies. If you are coding and billing appropriately then you should fight for what is rightfully due!Michele