Med Bill Audits

Med Bill Audit^tm (MBA) is Med Legal's objective system for evaluating medical charges.

Medical bills are often difficult to understand, and the standard for determining charges can be ambiguous. Med Legal's Medical Billing Audit service is an invaluable solution to understanding your case's medical bills and how they compare to regional and national charge and reimbursement norms.

First, we itemize all case medical bills by provider, date, service description, and charge. Then we check the bills against the medical records to ensure that each service was actually rendered. Through this process, missing bills are identified and placed in a Missing Bills List for your convenience. Next, hospital charge masters and financial data, insurance explanation of benefits, and reference databases are used to determine the norms of costs and charges for procedures, treatments, medications, office visits, etc. for the region where services were provided.

The information ascertained is applied to decipher usual and customary (U&C) charges by individual and group physician practices, private and public hospitals, and insurance companies. The result: you get the usual and customary for each charge, clearly displayed and totaled next to the itemized actual charges in the form of Itemized Billing by Provider.

These critical totals are also given in a Provider List for your quick and easy comparison. Additionally, Med Legal's Provider List gives you a comprehensive list of all treating physicians, their specialties, treating facilities, and the starting and ending dates of services for each.

Depending on your litigation needs, the actual and usual and customary charges can also be compared against reimbursement by alternative providers such as Medicare, Blue Cross, or an HMO, or against the amount that was paid by the patient or the insurance carrier.

The Medical Billing Audit's final component is a Billing Evaluation, which provides you with a brief narrative analysis of the billing audit to outline the methodology and highlight the issues identified that impact the damage portion of your case. This helpful tool gives you the medical insight and research that is essential to your case.

This same practice can be applied to accurately determine future costs of medical expenses, allowing you to appropriately ascertain damages.

In addition, Med Legal can supply expert testimony to support the Med Bill Audit for any case.

For a concrete solution to understanding your case's medical bills, try Med Legal Consulting Source's Med Bill Audit^tm today.
Contact us for details.