How Does Someone Become a Medical Biller and Coder?
Medical billing is unlike billing for most professions. A plumbing company’s billing clerk might prepare a bill based on a plumber’s record of time spent on a project and add charges for supplies used in...
Medical bills are claims for payment for the services provided the healthcare providers. Billings are usually submitted to insurance companies or to government agencies responsible for Medicare and Medicaid. The bills follow formats that insurers...
Medical Billing Review in PIP Cases
Florida law requires all private vehicle owners to carry Personal Injury Protection (PIP) insurance. Also known as “no-fault” insurance, Florida’s PIP insurance covers occupants of the insured vehicle regardless of which driver caused the accident. ...
Uninsured motorist (UM) claims are governed by contract law, but damages are generally determined by tort law. The contract requires the insurance company to pay the insured injury victim the compensation that the victim would...
Medical Billing Expert Testimony in Medical Malpractice Cases
Medical errors are a leading cause of death in the United States. Errors caused by negligence can entitle a patient (or a deceased patient’s family) to compensation. Expert witnesses help patients prove medical negligence. Doctors...
The Federal Rules of Evidence govern the admissibility of expert testimony in federal cases. Rule 702 has long required courts to begin their analysis by asking two questions. First: Is the expert basing an opinion...
Medical Billing Expert Witness Testimony Allowed in Personal Injury Case
A federal court decision demonstrates why defendants are entitled to use medical billing experts to challenge the reasonableness of hospital and chiropractic bills in a personal injury case. The evidence was needed to counter a...
In Schemelzer v. Muncy, a federal district court explained why expert testimony about the reasonableness of medical bills is not only admissible but necessary. The court rejected the plaintiff’s attempt to use the testimony of...
Upcoding and Unbundling Charges in Medical Billing Review
Inflated medical billing, whether deliberate or the result of honest error, imposes a financial burden on consumers, insurers, and personal injury defendants. Those errors are often hidden in the complex codes that are used to...
Medical billing experts help lawyers, physicians, and consumers. Here are a few examples of how medical billing experts can assist professionals and patients. Proving Damages Personal injury plaintiffs are entitled to recover medical expenses from...
