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MBA Services NeededExpert Witness ReportsInsurance Rebuttal LetterFuture Cost
Projections
Type of CasePersonal InjuryMedical MalpracticeMotor Vehicle AccidentsProduct
LiabilityWrongful DeathOther
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Medical Cost Specialists Navigating the Complexities
of Hospital and Medical Billings Reduce Inflated
Medical Charges We Compare UCR Rates to Inconsistencies such as
upcoding, unbundling, erroneous charges and duplicate charges Thorough and
Detailed
Analysis of
Medical Expenses We Provide Evaluation of Single Medical Charges to Complex
Cases Expert Witness Reports
that Greatly Affect the
Outcome of a Case









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WHO WE ARE

One of the most important items of damages in Automobile, Personal Injury,
Medical Malpractice cases are the cost of past and future medical bills.

The team of MBA professionals can review the massive amounts of hospital,
medical and therapy bills to determine the total cost of the plaintiff’s past
medical bills and by performing a Cost Projection Analysis of future costs based
on local CPT codes.

MBA will compile an in-depth report by comparing submitted medical bills to a
variety of benchmark fee schedules, market standard methodology and computer
databases. We will provide a line-by-line review of all medical bills submitted
to verify their validity.

We perform specialized healthcare claims review and audit services to establish
Usual, Customary, and Reasonable (UCR) rates. Through meticulous analysis of
medical charges, we can justify the reasonable cost of services which assists in
resolving the case.

We are your Nationwide Medical Billing Expert Witness and Medical Cost
Specialists.




OUR SERVICES

EXPERT WITNESS REPORTS

Our unparalleled reports are functional, comprehensive and in an understandable
format. They contain:

 * Analysis of all medical bills
 * Summary of issues
 * Summary of process
 * Summary of opinions by the expert Medical Biller
 * Information considered in forming opinions (resource list)
 * Total charges billed
 * Total amount that exceeds UCR rates
 * Total recommended payment
 * Records reviewed
 * Medical terminology definitions

INSURANCE REBUTTAL LETTER

Many times when physicians submit bills for surgery or pain management
procedures they perform, the bill is denied by the insurance company.

MBA Billing Specialists can review the insurance policy, evaluate the CPT codes
to make sure they are correct for the procedures and care provided by the
physician, in addition to writing an authoritarian, rebuttal letter which will
counteract the denial of benefits. As a result of our specialized service the
physician will receive appropriate payment for the services they have provided.

FUTURE COST PROJECTIONS

Frequently attorneys are presented with future care recommendations by treating
or consulting physicians. The problem for the attorney is how to quantify these
recommendations.

The MBA Billing Specialists can take the CPT Codes from the physician’s report
and research the cost of the recommended care or surgery in the Plaintiff’s
geographical area. We can provide you with the total cost of the recommended
care, so you document the value of future medical damages.

 




LATEST BLOGS


WHY MEDICAL BILLING EXPERTS ARE ESSENTIAL WITNESSES: A CASE STUDY?

August 30, 2021

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
Read More...


PHYSICIANS USE MEDICAL BILLING EXPERTS TO OBTAIN UCR RATES FROM INSURANCE
COMPANIES

August 23, 2021

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
Read More...



TX COURT RECOGNIZES RIGHT TO USE MEDICAL BILLING EXPERTS TO CHALLENGE
REASONABLENESS OF MEDICAL EXPENSES

August 16, 2021

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
Read More...




CASE VERDICTS

WORKER BROKE LEG IN FALL FROM 'INAPPROPRIATE' LADDER

LABOR LAW, SLIPS, TRIPS & FALLS - FALL FROM HEIGHT, CIVIL PRACTICE - SUMMARY
JUDGMENT.

Verdict: $5,003,801.54

Verdict Details
HEAD INJURY

SECURITY GUARD STRUCK BY FALLING WALL.

Verdict: $5,000,000

Verdict Details
HERNIATED DISCS

REAR-ENDED COLLISION RESULTED IN INJURIES.

Verdict: $4,775,000

Verdict Details
CEREBRAL PALSY, SEIZURE DISORDER, BRAIN DAMAGE

STATE CHILD-WELFARE WORKERS MISSED SIGNS OF ABUSE

Verdict: $165,972,503

Verdict Details
QUADRIPLEGIA

FAILURE TO WARN, PRODUCTS LIABILITY - FAILURE TO WARN, PRODUCTS LIABILITY -
AUTOMOBILES

Verdict: $40,190,417.20

Verdict Details
HEAD INJURIES AND FRACTURES

CAR WAS PROPELLED OUT OF COLLISION, STRUCK BYSTANDERS

Verdict: $9,000,000

Verdict Details
ABOVE-THE-KNEE AMPUTATION

XI/1-1 PRODUCT LIABILITY WOODCHIPPER ABOVE-THE-KNEE AMPUTATION REMITTITUR
REFUSED

Verdict: $6,849,654.50

Verdict Details
RIGHT KNEE SPRAIN, HERNIATED DISCS

IRONWORKER FELL INTO HOLE, CLAIMED INJURIES OF SPINE, KNEE

Verdict: $5,900,000

Verdict Details
BACK AND KNEE INJURIES

IRONWORKER FALLS INTO HOLE AT CONSTRUCTION SITE AND INJURES BACK AND KNEE.

Verdict: $5,900,000

Verdict Details
RIGHT KNEE SPRAIN, HERNIATED DISCS

IRONWORKER FELL INTO HOLE, CLAIMED INJURIES OF SPINE, KNEE.

Verdict: $5,900,000

Verdict Details
Hip Fracture, Leg Fracture, Back Tear and Neck Injury

LABORER FALLS OFF A WHEELED SCAFFOLD AND INJURES BACK, KNEE AND HIP.

Verdict: $5,600,000

Verdict Details
HIP FRACTURE, BACK FUSION, NERVE IMPINGEMENT

WORKER FELL FROM SCAFFOLD, CLAIMED INJURIES OF HIP, SPINE, KNEE.

Verdict: $5,600,000

Verdict Details
NECK INJURY AND FUSION

MOTORIST NOT MINDFUL OF WET ROAD CONDITIONS, INJURED PASSENGER.

Verdict: $5,500,000

Verdict Details
PELVIS AND LUMBAR FRACTURES, BROKEN RIBS

WORKER FALLS FROM LACK OF HARNESS INTO UNGUARDED HOLE.

Verdict: $5,350,000

Verdict Details
WORKER BROKE LEG IN FALL FROM 'INAPPROPRIATE' LADDER

LABOR LAW, SLIPS, TRIPS & FALLS - FALL FROM HEIGHT, CIVIL PRACTICE - SUMMARY
JUDGMENT.

Verdict: $5,003,801.54

Verdict Details
HEAD INJURY

SECURITY GUARD STRUCK BY FALLING WALL.

Verdict: $5,000,000

Verdict Details
HERNIATED DISCS

REAR-ENDED COLLISION RESULTED IN INJURIES.

Verdict: $4,775,000

Verdict Details
CEREBRAL PALSY, SEIZURE DISORDER, BRAIN DAMAGE

STATE CHILD-WELFARE WORKERS MISSED SIGNS OF ABUSE

Verdict: $165,972,503

Verdict Details
QUADRIPLEGIA

FAILURE TO WARN, PRODUCTS LIABILITY - FAILURE TO WARN, PRODUCTS LIABILITY -
AUTOMOBILES

Verdict: $40,190,417.20

Verdict Details
HEAD INJURIES AND FRACTURES

CAR WAS PROPELLED OUT OF COLLISION, STRUCK BYSTANDERS

Verdict: $9,000,000

Verdict Details
ABOVE-THE-KNEE AMPUTATION

XI/1-1 PRODUCT LIABILITY WOODCHIPPER ABOVE-THE-KNEE AMPUTATION REMITTITUR
REFUSED

Verdict: $6,849,654.50

Verdict Details
RIGHT KNEE SPRAIN, HERNIATED DISCS

IRONWORKER FELL INTO HOLE, CLAIMED INJURIES OF SPINE, KNEE

Verdict: $5,900,000

Verdict Details
BACK AND KNEE INJURIES

IRONWORKER FALLS INTO HOLE AT CONSTRUCTION SITE AND INJURES BACK AND KNEE.

Verdict: $5,900,000

Verdict Details
RIGHT KNEE SPRAIN, HERNIATED DISCS

IRONWORKER FELL INTO HOLE, CLAIMED INJURIES OF SPINE, KNEE.

Verdict: $5,900,000

Verdict Details
Hip Fracture, Leg Fracture, Back Tear and Neck Injury

LABORER FALLS OFF A WHEELED SCAFFOLD AND INJURES BACK, KNEE AND HIP.

Verdict: $5,600,000

Verdict Details
HIP FRACTURE, BACK FUSION, NERVE IMPINGEMENT

WORKER FELL FROM SCAFFOLD, CLAIMED INJURIES OF HIP, SPINE, KNEE.

Verdict: $5,600,000

Verdict Details
NECK INJURY AND FUSION

MOTORIST NOT MINDFUL OF WET ROAD CONDITIONS, INJURED PASSENGER.

Verdict: $5,500,000

Verdict Details
PELVIS AND LUMBAR FRACTURES, BROKEN RIBS

WORKER FALLS FROM LACK OF HARNESS INTO UNGUARDED HOLE.

Verdict: $5,350,000

Verdict Details
WORKER BROKE LEG IN FALL FROM 'INAPPROPRIATE' LADDER

LABOR LAW, SLIPS, TRIPS & FALLS - FALL FROM HEIGHT, CIVIL PRACTICE - SUMMARY
JUDGMENT.

Verdict: $5,003,801.54

Verdict Details
HEAD INJURY

SECURITY GUARD STRUCK BY FALLING WALL.

Verdict: $5,000,000

Verdict Details
HERNIATED DISCS

REAR-ENDED COLLISION RESULTED IN INJURIES.

Verdict: $4,775,000

Verdict Details



LATEST BLOGS


WHY MEDICAL BILLING EXPERTS ARE ESSENTIAL WITNESSES: A CASE STUDY?

August 30, 2021

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
Read More...


PHYSICIANS USE MEDICAL BILLING EXPERTS TO OBTAIN UCR RATES FROM INSURANCE
COMPANIES

August 23, 2021

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
Read More...



TX COURT RECOGNIZES RIGHT TO USE MEDICAL BILLING EXPERTS TO CHALLENGE
REASONABLENESS OF MEDICAL EXPENSES

August 16, 2021

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
Read More...




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