All too often, the award and the expense of a medical cases, surrounds the bills submitted by medical providers who treat the patients involved in a range of accidents. These patients require medical care and the doctors who treat them deserve to be paid.
How much providers are paid depends on a variety of features such as physician work, overhead and malpractice, the cost of the facility and many other factors.
Many medical providers make charges for services often lacking any substance for setting such fees or they fail to base the charges on anything more than a percentage of the Medicare rates.
We can help.
Whether you need a coding expert to dissect and audit the billing records, or expertise in the recommendations for the usual, customary and reasonable values for these services, we can help. We provide skill in litigation support, testimony in court, and we stand behind the figures we supply as they supported by literally billions of bits of data submitted by individual medical providers, hospitals, out and inpatient facilities as well as the rules in the CPT book. It’s through combined proficiency and the types of experts we employ that we stand apart from any other company to get our clients where they need to be to negotiate a settlement, garner an award and win their case. When it comes to medical coding and the fees associated with that, we are your ultimate right hand.
For attorneys, our experts are certified professional coders who are seasoned in their respective areas of expertise. Like experienced professors, they spot the areas that cinch each matter and pin point, with laser accuracy, the benefits and weaknesses of each case. They relate to juries, and have been qualified in federal, state and criminal courts serving clients who represent both plaintiffs and defendants.
For physicians, these same experts help set prices based on the usual, customary and reasonable values in the geo zip code in question and zero in on any shortchanges, retro-active billing opportunities and missed coding opportunities that end up costing most practices hundreds of thousands of dollars.
We conduct our work using the most reliable information available in the industry, information that costs us thousands to obtain, and we provide cost assessments of the usual, customary and reasonable fees versus the Medicare fees for patients. We take the guess work out of comparing Medicare values to regular standard values and provide our clients with the most up-to date information that is based on the year in question as well as the geo-zip where the service(s) occurred.
We can provide in person testimony, affidavits and full reports depending on the individual needs of each client.
With the use of our proprietary software, our analysis time is shorter than most and the results more accurate and timely. From providing information on whether to pursue a case to data on how much services are really worth, we have you covered.