Inflated medical and hospital bills have proven to be obstacles that attorneys have to deal with and overcome in today's healthcare environment. We are experts in working with attorneys in finding solutions to these inflated medical claims.  MBAA specialized advocates can help attorneys with cases involving medical providers and medical facilities. Our in-depth audit methodology not only ensures that facility billings conform to the medical record (Medical Record Audit), but also identifies fraudulent and abusive billing practices (Compliance Audit) and prices that are in excess of what is fair and reasonable (Fair & Reasonable Price Analysis). We can then translate our findings into testimony that can help your case and help save clients millions in medical costs.

What distinguishes our organization from other medical/hospital bill auditors is our compliance audit that is based on federal billing guidelines.  Additionally, we target inflated charges that cannot be justified such as a $1,028 billing for a contrast solution that retails for $2.80.

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Advocates review every line of every bill from every provider looking for possible duplication, unbundling, probable data entry errors that produce inappropriate charges, and other frequently encountered errors.

Our Review for Legal Cases addresses three distinct areas:

• Are the charges that appear on the itemized statement, allegedly associated with the patient’s medical care and treatment, corroborated by the medical record documentation?
• Are the charges billed in conformance with federal billing regulations that govern inpatient and outpatient billing compliance?
• Do the charges billed meet the definition of fair and reasonable?