Are Your Medical Bills Making you Sick?
You should never pay for care you did not receive. We provide the forensic medical bill audit you need to approach a hospital or clinic yourself and negotiate a billing resolution.
Status Quo
Your Medical Bills likely have Errors
Only About 1 in 5 Provider Issued Medical Bills are Accurate.
Consumer Watchdog Reports that up to 80% of all Medical bills have Errors
An incorrect bill is not an anomaly, it is a statistical norm. In fact, only 10-20% of medical bills are acurrate upon issuance making correct bills the actual anomaly. The most common type of error is financial in nature (e.g., erroneous charges) and not clerical (wrong name or account).
The Upcoding Trap – Paying More for Routine Care
Many institutions bill routine care as a complex procedure; this can increase a care episode by hundreds or even thousands of dollars. The introduction of AI into healthcare billing and coding practices has lead to purposeful upcoding for revenue generation which is fraud.
Duplicate Charges and Double Billing
In the chaos of a care episode it is extremely common to be charged twice for the same nursing care, medication, lab fees, or room and board. Up to 25% of medical bills have duplicate charges. In some instances, patients are even billed for duplicate charges previously rejected by insurance payers. In other scenarios patients are charged even though insurers already paid for care received.
Unbundling: The Hidden Charge
Unbundling occurs when a patient is charged for supplies or equipment that are required, and included, in the cost of an all-inclusive care episode. Example: A separate charge for surgical gloves when undergoing a surgical procedure.
The $10,000 Smoking Gun Industry Survey
A billing industry survery found that a hospital bill of $10,000 contains an average error of $1300; this error increases as care episode cost and complexity increase.
Despite 45% of patients receiving suprise medical bills less than 50% investigate the nature of the excess charges
This means that many erroneous medical bill charges go largely unnoticed by healthcare consumers.
White Glove Service
Professional Medical Bill Auditing
We offer a custom medical bill audit + forensic report production + virtual conference with discussion of report findings.
our Process
Simplicity Squared
Our Stepwise System is the Simplest Forensice Medical Bill Audit Available.
1. Realize The Need for a Billing Audit
2. Schedule a Free Consultation (not required, but helpful)
3. Obtain Your Billing Documents
4.Submit Your Billing Documents for Audit
5. Bill Auditing
6. Forensic Audit Report Production
7. Delivery of Forensice Report With Post-Audit, virtual Conference
8. You Leverage Your Audit findings for a reduction or as you see fit
with the correct tools, you are your own best advocate
Empowering Clients
We Provide the Forensic Report You Need to Enter a Bill-Reduction Discourse With a Healthcare Provider.
Our Mission
Our mission is to assist American healthcare consumers in achieving the highest value they can when paying for healthcare services.
Value in healthcare is defined as the patient outcome relative to the overall cost to achieve that outcome. Billing errors and fraud create an extremely low value scenario because healthcare consumers end up paying more than they should.
Our Method
We perform a line-by-line audit of your itemized billing documents to identify errors that violate federally mandated coding statutes and artifically inflate your bill.
Our audit notes are then transformed into a forensic report that provides the exact documentation needed to challenge a bill. Without paying thousands of dollars to a bill negotiation firm.
Our Purpose
Our purpose is to deliver client value. We empower our clients and deliver value through providing the forensic data they need to request a billing resoluton themselves, potentially saving thousands of dollars. You are your most powerful advocate we help you achieve that.
Erroneous and Fradulaent billing Drives Up Consumer Cost of Care
Textbook Fraud, Waste, and Abuse
The Examples Below Represent Predatory Coding and Billing Practices Prosecuted by the U.S. Department of Justice. If you think your provider is 100% on your side, think again.
Have Questions?
Take a Look at A Sample Forensic Audit Report
You can download and review a sample audit report by clicking below.
Service Pricing
All Audits Include Client Email Support, Forensic Audit Report Production, and Post-Audit Video Conference to Discuss Findings.
Pre-Audit Consultation
Free
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Meet and Greet Medical Bill Forensics Chief Medical Officer.
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Client Guide Walkthrough With Personalized Question and Answer Session
Forensic Medical Bill Audit: One Itemized Medical Bill
Includes:
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Forensic Audit of One (1) Itemized Medical Bill, Explanation of Benefits (EOB), and Associated CMS-1450/UB-04 if available.
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Production and Delivery of Forensic Audit Report
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Tax Compliance Documentation
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Post-Audit, Video Conference on Forensic Findings with Question and Answer Session
*See below for additional discounts.
Forensic Medical Bill Audit: Per-Additional Bill After First
+$250*
Includes:
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Forensic Audit of Second Itemized Medical Bill, Explanation of Benefits (EOB), and Associated CMS-1450/UB-04 if available
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Production and Delivery of Second Forensic Audit Report
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Tax Compliance Documentation
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Post-Audit, Video Conference on Forensic Findings with Question and Answer Session
*See below for additonal discounts.
Payment Options
We Offer Multiple Payment Options
You Should Never Have Worry About the Affordability of a Forensic Medical Bill Audit.
1
Debit Card, Credit Card, Bank ACH, Zelle, or Health Savings Account (HSA) Reimbursement Method.
You can easily pay for your audit via standard online payment methods through our affiliate Stripe. You may pay directly via Zelle. Additionally, you can pay for your audit using your HSA funds through a reimbursement methodology. Click here to learn more about using your HSA to pay for your audit.
2
Installments
You can pay for your audit with Klarna via a monthly installment. After paying the first installment your audit and forensic report is completed and delivered regardless of your installment plan length.
3
Business Invoicing
If you are a business seeking to add forensic audits as a pay-as-you-go employee benefit, we offer business invoicing. All invoices are business tax compliant for deductability.