Lawyers for plaintiffs and defendants face challenges when plaintiffs seek reimbursement of medical bills as damages in a motor vehicle accident case. Plaintiffs must prove that the bill is reasonable. Defendants might face a presumption...

Victims of personal injuries can seek reimbursement of medical expenses from parties who are liable for their injuries. In typical cases, victims must prove liability with evidence that the defendant was negligent and that the...

The substantive law of personal injury damages is determined by state court precedent. Nearly all states require accident victims who seek recovery of medical bills based on negligence claims to prove that the bills are...

Medical billing experts are important witnesses for both plaintiffs and defendants. Courts routinely recognize that medical billing experts can give relevant testimony that satisfies the Daubert standard of admissibility. A recent case before a federal...

Life care plans are commonly prepared for litigation to prove future damages in personal injury cases that involve a catastrophic injury. Medical cost projections are a routine part of life care planning. Medical cost projections...

Every year brings new changes in the way medical billing services must operate. In 2022, those changes will include new CPT codes, a new ICD system, and new ways of doing business. Hospitals, clinics, and...

In life, there are good surprises and bad surprises. In medical billing, bad surprises tend to prevail. Historically, one of the biggest surprises has been unexpected out-of-network charges. Surprise billing is most frequent in the...

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...

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...

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...