Evaluation Request

Who We Are

One of the most important items of damages in Automobile, Personal Injury, Medical Malpractice cases are the cost of past and future medical bills.

The team of MBA professionals can review the massive amounts of hospital, medical and therapy bills to determine the total cost of the plaintiff’s past medical bills and by performing a Cost Projection Analysis of future costs based on local CPT codes.

MBA will compile an in-depth report by comparing submitted medical bills to a variety of benchmark fee schedules, market standard methodology and computer databases. We will provide a line-by-line review of all medical bills submitted to verify their validity.

We perform specialized healthcare claims review and audit services to establish Usual, Customary, and Reasonable (UCR) rates. Through meticulous analysis of medical charges, we can justify the reasonable cost of services which assists in resolving the case.

We are your Nationwide Medical Billing Expert Witness and Medical Cost Specialists.

Our Services

expert witness reports
Expert Witness Reports

Our unparalleled reports are functional, comprehensive and in an understandable format. They contain:

  • Analysis of all medical bills
  • Summary of issues
  • Summary of process
  • Summary of opinions by the expert Medical Biller
  • Information considered in forming opinions (resource list)
  • Total charges billed
  • Total amount that exceeds UCR rates
  • Total recommended payment
  • Records reviewed
  • Medical terminology definitions
insurance rebuttal letter
Insurance Rebuttal Letter

Many times when physicians submit bills for surgery or pain management procedures they perform, the bill is denied by the insurance company.

MBA Billing Specialists can review the insurance policy, evaluate the CPT codes to make sure they are correct for the procedures and care provided by the physician, in addition to writing an authoritarian, rebuttal letter which will counteract the denial of benefits. As a result of our specialized service the physician will receive appropriate payment for the services they have provided.

future cost projections
Future Cost Projections

Frequently attorneys are presented with future care recommendations by treating or consulting physicians. The problem for the attorney is how to quantify these recommendations.

The MBA Billing Specialists can take the CPT Codes from the physician’s report and research the cost of the recommended care or surgery in the Plaintiff’s geographical area. We can provide you with the total cost of the recommended care, so you document the value of future medical damages.

 

Latest Blogs

New PCM Codes for Medical Billing and Coding Services in 2022

January 17, 2022
billing medicare
The Centers for Medicare and Medicaid Services (CMS) has enormous influence in the field of medical billing. That isn’t surprising, given the importance of Medicare and Medicaid billings to physician revenue. When CMS decrees that
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What Are CPT Code Modifiers? How Are They Used?

January 10, 2022
CPT code modifiers
Medical coding is complex. Medical coders follow guidelines created by the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS) to assign codes to the services and procedures performed by healthcare
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What Are the Rules for Billing Remote Therapeutic Monitoring Codes?

January 3, 2022
Therapeutic monitoring codes
Remote monitoring of patients is a way for healthcare providers to access information about patients who are not in the provider’s presence. Healthcare providers gather data from their patients without requiring the patient to visit
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