For Individuals
This Service is For:
Individuals or sole proprietor business owners in need of a forensic medical billing audit. All other businesses click here.
What You Need:
An itemized medical bill and Explanation of Benefits (EOB) for a care episode. Additionally, a CMS-1450/UB-04 is helpful but not required.
Turnaround Time:
Variable depending on number of bills to be audited. Usually ten business days from audit initiation based on scheduling.
Cost:
$500 for the first bill audited. $250 for each additonal bill.
See Below for Tax Benefits!
Process
Click here to schedule a free audit overview consultation or request an audit. You can also view sample forensic audits by clicking below.
Tax Advantage Pathways
The Following Tax Applicaitons May Help Cover the Cost of a Forensic Audit.
- Claim the Senior Deduction (Expanded Standard Deduction) or Senior Bonus Deduction
- Pay With Your Health Savings Account (HSA)
1. Senior Deduction and Senior Bonus Deduction (Age 65+)
For taxpayers age 65 and older, the IRS provides an expanded standard deduction called the senior deduction; this expanded deduction is automatically available to seniors who do not itemize.
The Senior Bonus Deduction (a deduction in additon to the expanded senior deduction) allows eligible seniors to claim a $6,000 deduction on their federal tax return from 2025 to 2028 in additon to the expanded standard deduction. This bonus deduction is claimed on Schedule 1A and carried over to line 13b on Form 1040 or 1040-SR.
These deductions act as a self-funding audit tool. The senior pays the $500 audit fee upfront and the claimed deductions reduce their taxable income thereby lowering the federal income tax owed which saves them money and limits the impact of the out-of-pocket audit expense. Because the senior and senior bonus deductions are fixed and do not require itemization, they provide a simple method for seniors to fund professional services like audits while receiving a significant tax benefit.
2. Reimburse Yourself With Funds from Your Health Savings Account (HSA).
Many clients are unaware that the fees paid for a forensic medical bill audit are deductible based on how the IRS classifies ancillary expenses related directly to the reception of medical care (medical records expenses for example). Paying for your audit with HSA funds reduces the audit cost by lowering your taxable income when you deduct your HSA contributions.
Click here to be redirected for information on using your HSA to cover your audit costs.