HealthBill
Reviewers advocates for patients, physicians, human
resource departments, self insurers, third party
administrators (TPAs) and family members of elderly
patients who either do not have the time, knowledge,
resources or a combination thereof to address
medical billing problems.
HealthBill Reviewers provides critical analysis of
provider billing coding reimbursement. We compare
and scrutinize against national code sets, CMS-1500
forms, evaluation and management (E& M) codes,
anesthesia codes, surgery codes, radiology codes,
pathology and lab codes, medicine codes, CCI, HCPCS
codes and facility outpatient (O/P) modifiers.
HealthBill Reviewers strives for fair and accurate
billing throughout the system. Our approach is that
of facilitation, not confrontation, in working with
the parties participating in our national healthcare
system. We provide audits, assessments, and “deep
dive” analysis of medical billing. We help structure
and participate in negotiated settlements.
HealthBill Reviewers, as an independent nationwide
medical billing advocate and member of MBAA, can
find and recover thousands of dollars in errors and
overcharges in clients’ bills. We hold insurance
companies accountable for policy coverage they
collect large premiums for. We tap into our MBAA
network of advocates to pool in-depth expertise,
inquisitiveness, lessons learned and experience
together to get results. As a result our clients
save money. Whether the bill has already been paid,
being paid on an installment basis, or not yet paid
on, now is the time to review it in depth to ensure
that the “language within the four corners of the
contract” is being met and that the medical coding
is without error.
Did you know that between 80% and 90% of medical
bills contain errors? Fortunately, the majority of
these errors are just that- errors, which were
unintentional. HealthBill Reviewers works for its
clients to remedy these billing errors. We look for
upcoding, unbundling (also known as unpackaging) of
related charges and improper coding modifiers. We
look into hospital rate setting and charging
(mark-up) methodologies. We compare both inpatient
and outpatient hospital charges and practices
against Medicare pricing, HIPAA, AMA, DRG, NCCI and
other industry guidelines. |
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If you are uninsured, please know that it is your
right to only pay for the treatment you received.
The uninsured typically get charged the highest
prices and are often recipients of the most
error-prone bills. These errors are predominantly in
the favor of the providers, not the patients. It is
your right and perhaps even your civic
responsibility to not pay for what has not been
provided.
HealthBill Reviewers’ mantra is “Fair and Reasonable
Payment for Fair and Reasonable Services.” We are
here to assist all participants in the healthcare
industry to strive towards this. The majority of our
services are based on a contingency fee basis. This
arrangement takes out the risk to our clients while
at the same time better ensuring that they will
receive maximum benefit of our services.
Every year, millions of dollars in medical billing
errors would go undetected by consumers, insurance
companies, and businesses if it weren’t for
advocates like the members of the Medical Billing
Advocates of America (MBAA). HealthBill Reviewers as
an active MBAA member works closely with other MBAA
member advocates on behalf of its clients.
Some medical billing errors are so outrageous
they’re amusing to read about—unless they appear on
your own bill, of course. Imagine a man being
charged for time spent in the labor/delivery room.
Or a $400 charge for something simply listed as
“unknown” or “miscellaneous.”
The overcharges are as disturbing as the incorrect
billings: a $57 teddy bear listed as a cough support
device; an $11.20 box of tissues called a disposable
mucous recovery system; a $15 plastic bag of ice
listed as thermal therapy. And perhaps most
astounding of all, a toothbrush billed at $1,004.50.
Insurance companies paid for all these errors, yet
we’ve seen claims for heart surgery rejected for no
justifiable reason.HealthBill Reviewers is assisting those who need a
helping hand, when they most need it.
Please use our contact form
(cuts down on the spam) or give us a call toll free
at (866) 544-5696 for a free
consultation. Remember, if we cannot have your bill
reduced, there is no cost to you.
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