Medical Bill Review

Medical bills are an essential element of damages. Yet too often, they receive an adjuster's cursory review before payment is issued. A Legal Nurse Consultant can provide valuable information such as:

• Excessive medical liens
• Unreasonable charges
• Identification of unknown providers
• Duplication of services and/or charges
• Potential fraud such as false claims
• Treatment lapse or overlap
• Treatment for non-injury related conditions
• Support of case merit in medical malpractice issues

A medical bill review is best accomplished by comparing the submitted charges to the patient's medical chart notes.  Though less effective, it can be performed by a review of billings only.

V/G Associates will confirm that services listed on medical provider's bills were:

• Provided and documented in the records
• Related to the patients diagnosis or injury
• Medically appropriate and reasonable given the diagnosis/injury
• Coded and billed correctly
• Within the "usual and customary" charges for similar treatments

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