Evaluating medical care fees, coding, insurance requirements, and receipts is a daily activity for me and my professional staff. We have successfully provided evaluations of medical fees for healthcare providers including hospitals and facilities within Usual, Customary and Reasonable (UC&R) rates with recognition and acceptance in medical litigation cases.
As President of Med-Econ, Inc., a medical practice management company in the State of Ohio, my experience in medical billing spans a period of over 35 years involving nearly a billion dollars in medical charges.
In addition to the UC&R evaluations, we have the expertise to review the medical care documentation to validate that the charges reflect care actually provided and that the documentation is in compliance with federally and professionally mandated methodology. Our expertise in this area has resulted in substantial legitimate reductions in the dollar amounts allowed by the courts for submitted medical bills. This is particularly successful during mediation activity which in turn saves unnecessary costs for all involved at a fraction of the cost of most expert witnesses.
Member: Medical Group Management Association (MGMA) American Association of Nurse Life Care Planners American Health information Management Association (AHIMA) Society of Hospital Medicine Ohio State Medical Association Healthcare Billing & Management Association (HBMA) American Academy of Pain Medicine American Academy of Pain Management American Academy of Professional Coders American Institute of Healthcare Compliance Association for Healthcare Administrative Professional - affiliate American Hospital Association American Association of Legal Nurse Consultants (AALNC)