Reviewing medical bills for injuries cases is no small task, but Med Legal’s coders and auditors in the Medical Billing Review Department make it easy.
Medical bills are often difficult to understand, and the standard for determining charges can be ambiguous. Med Legal’s Medical Billing Review Department is an invaluable resource to understanding your case’s medical bills. Whether you need to simply know what was charged in total, how the charges compare to the services rendered, or how they compare to regional and national charge and reimbursement norms, Med Legal’s experienced medical bill review team takes out all of the guesswork. Our vetted coders understand the impact medical bills can have on litigation. With an eye for detail and the knowhow that comes with years of experience, our coders efficiently provide a medical bill review that results in reports that are clear, to the point, and indispensible.
The Bottom Line
Medical bill reviews help you understand the bottom line. Med Legal uses the medical bills to compile a useful list of all charges – tallied and totaled. All duplicate billings, explanation of benefits, and non-related medical charges are sorted out based on ICD-9 information so you can be confident that the total is a true reflection of actual charges.
Medical Bills vs. Medical Records
If you’re looking for more than just the bottom line, Med Legal’s coders and auditors in the Medical Billing Review Department can compare charges 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. Then, 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.
Usual and Customary
The information our Medical Billing Review Team ascertains from the comparison of bills and records can be 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.
Billing Audit
Med Bill Audittm (MBA) is Med Legal’s objective system for analyzing medical charges for appropriate allowable fees. Med Legal’s Medical Bill Review Team goes beyond a comparison of bills and medical records and takes bill review to the next level. 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.
Narrative Analysis
A narrative analysis of the billing audit is great resource for a more detailed audit to outline the methodology and highlight the issues identified that impact the damage portion of your case. With this helpful tool, our Medical Bill Review Team 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.
Expert Testimony
Med Legal can supply expert testimony to support a full Med Bill Audit for any case.
For a concrete solution to understanding your case’s medical bills, try Med Legal Consulting Source’s Medical Billing Review today. Contact us for details.
