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...

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...

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...

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...

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...