Medical Billing Review Experts in Personal Injury Cases

Lawyers for plaintiffs and defendants rely on medical billing review experts to prove and defend claims for medical expenses in personal injury cases. Personal injury plaintiffs cannot usually bring a successful claim to recover medical...

In personal injury litigation, medical bills are categorized as special damages. They are specific measurable out-of-pocket losses that result from a defendant’s conduct. Awards of compensation for pain, suffering, and emotional distress are categorized as general...

Why Medical Billing Experts Are Essential Witnesses: A Case Study?

The judge’s decision in a recent federal case illustrates why lawyers need to understand state law regarding the proof required to recover medical expenses. The plaintiffs in a wrongful death case hoped to obtain partial...

When patients with managed care plans see an out-of-plan provider, they may be shocked when they are billed for a portion of services that their health insurer refuses to pay. Physicians can be just as...

Tx Court Recognizes Right to Use Medical Billing Experts to Challenge Reasonableness of Medical Expenses

The extent to which defendants were entitled to use medical billing experts to challenge the reasonableness of claimed medical expenses was unclear until a recent decision of the Texas Supreme Court. In a case involving...

Lawyers who use medical billing experts to question or support the reasonableness of medical billings must anticipate objections to the expert testimony. A common objection, regardless of an expert’s field of expertise, is that the...

Using Medical Billing Experts to Challenge the Reasonableness of a Plaintiff’s Damages

Both the plaintiff and the defense can benefit from the testimony of a medical billing expert in a personal injury case. Plaintiffs who want to recover medical expenses as part of their damages must often...

Whistleblowers serve the public when they expose fraudulent healthcare billings to Medicare and other government programs. Laws that enable qui tam lawsuits allow whistleblowers to benefit themselves as well as the public. When they prove...

Rooting Out Errors and Fraud Based on Upcoding and Unbundling

Have you ever taken a look at the papers that come in the mail shortly after your doctor’s visit, or do you read the words “This is not a bill” and throw it in the—ever-growing—shred...

What do you do when you have a complex issue that is crucial to your case, but difficult for an average person to understand because it is related to a highly specialized field?  You get...