This is what I got:

"I am not sure what your associate is referring to. I would think he means the adjuster or adjustment process as well since they review coding. I feel this conversation is intentionally vague most likely due to lack of specific knowledge. If I knew “adjusters” is the incorrect description and also knew the correct description, I would offer this correct description without continued prying. This would progress the discussion productively so my point could be known clearly. It is clear the previous system worked better for him and some ubiquitous description of underpaid staff is the reason the current system is not as good. I think that is as far as you will get or he would have already volunteered information that is clear, concise and useful to your discussion."


 I agree.  The old system was better for you and my only knowledge of healthcare processes that match your description is adjusters and you say that is incorrect.  At the end of the day I still don't know how the ACA impacted any of this since it didn't exist at the time.