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.
An estimated 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
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.
Duplicate Charges
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.
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
A hospital bill of $10,000 contains an average error of $1300; this error increases as care episode complexity increases.
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 + forensice report production + virtual conference with report explanation.
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 Itemized Medical Billing Documents
4.Submit Your Billing Documents for Audit via our Client Portal
5. Bill Auditing
6. Forensic Audit Report Production
7. Delivery of Forensice Report With Post-Audit, virtual Conference
8. Leverage Your Audit findings 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 or Substantiate Medical Bill Tax Deductions.
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 overall cost to achieve that outcome. Billing errors create an extremely low value scenario because healthcare consumers end up paying much 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 – such errors may represent charges for services that were .
Our audit notes are then transformed into a forensic report that provides the exact documentation needed to challenge a bill.
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.
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.
Have Questions?
Client Information Guide With Forensic Audit Overview
You can download and read our client information guide below.