Are you looking for a solution to get medical bills reduced?
Clients are not happy to hear that money their health insurance company paid for treatment of accident related injuries must be paid back to the insurance company out of their settlement. However, more and more insurers are aggressively seeking to recover medical expenses through health care liens.
Healthcare costs have escalated at an alarming rate. One major contributor to that rapid increase in healthcare cost is that hospitals and medical providers are free to set their prices and charges at any level and can increase those prices at any time and at any rate. The tangled web of medical expense reimbursement is enough to send lawyers to full-day seminars which may still leave them with more questions than answers.
MBA can untangle that web. We can look for ways to reduce medical bills. Our focus is on scrutinizing the prices being charged by the hospital and how they compare to the Usual, Customary, and Reasonable fee schedule. We have the capability to find and correct inaccurate, excessive, and inappropriate hospital billings.
Higher settlements for the injured party?
A comprehensive medical bill analysis is a critical piece of any settlement process involving medical liability.
Health insurance companies offer security to their members by agreeing to pay a percentage of the bills when a health calamity hits. However, most commercial insurances base their payments off of the Resource-Based Relative Value Scale (RBRVS). The RBRVS is the physician payment system used by the Centers for Medicare & Medicaid Services (CMS).
MBA can determine UCR fees for all of your client’s medical bills and give you a reasonable and fair amount for settlement purposes.
Sometimes attorneys have questions regarding a client’s medical bills or a specific charge that doesn’t require a report or an in depth analysis. MBA’s expert billers and coders can assist you with consultation over the phone and/or email.
In today’s complex medical billing environment, the need for medical coding and expertise in the field is more important than ever. That is why our dedicated staff of professionals has extensive experience, years of study, and maintains certifications in medical billing and coding.