You must have a medical expert retained to identify relatedness and necessity of treatment – I am not qualified to make such proclamations. However, once your medical expert has identified the diagnosis’ involved with related treatment, I can create reports and provide testimony regarding relatedness based on the medical experts findings. This is done with […]
Valuation uses the same process as the review and analysis, only backwards. The same system is used to apply a value to a service as is used to analyze and opine. Detailed information would be needed from a medical expert to indicate what procedures need to be performed, including any pre and post-op exams, imaging, […]
I have done work for both plaintiffs and defendants.
For many situations, a medical expert is just fine for this job. But in some scenarios, it can be more valuable and efficient; 1. Your medical expert is an expert in his/her field of medicine; not in the billing department. Their administrative staff tend to know more about their billing than they do. 2. Although […]
Yes. In such cases a medical record review is conducted to uncover any special circumstances to substantiate the charge. If not, I can offer a formulated, calculated reduction on the fees or remove it from my testimony entirely.
No. In addition to the fact that all medical practices are governed by the same set of rules, the formulas utilized in the process of analysis includes geographic multipliers which correspond to specific regions.
Any practice area. All medical practices are governed by the same set of rules, codes and formulas to calculate fees. Details about procedures and the method in which they are billed are detailed with CPT (Common Procedural Terminology) code sets.