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.
  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.
 

 
© 2007-2008 HealthBill Reviewers a CI Enterprises, Inc company.