Do your denials from the payer explain their rationale for why the are not accepting the level you billed? If not, I would escalate this with the payer, either by trying to get in touch with an appeals supervisor or by contacting your network representative. If the denials are valid, either per the terms or your contract with the payer or based on documentation, then you'll want to align your coding with the plan's requirements to avoid the delays and the administrative cost of these appeals and corrected claims. But if these denials are not valid, then the payer needs to address the problem and stop this, which may require an intervention by someone at a higher level. Either way, my recommendation would be to speak with someone and negotiate a resolution to this.