Overbilling vs. downcoding--the battle between physicians and insurers.
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In September 2004, a federal appeals court upheld a class-action lawsuit on behalf of physicians who charged that their patients' insurance companies had conspired to curb reimbursement for the physicians' services. Drs. Aaron Kesselheim and Troyen Brennan discuss the issues that have long lurked beneath the surface of the managed-care revolution.