For Attorneys & Law Firms
Independent billing and coding review for litigation
Reviews are performed by coders and auditors credentialed through AAPC and AHIMA — the same bodies that certify the coders whose work is under examination. Findings are documented against AMA, AHA and CMS guidelines in force at the date of service, so opinions rest on the published standard.
Expert Services
- Billing expert opinions
- Expert affidavits
- Expert billing witness support
- Litigation billing and coding review
- Independent record review
- Rebuttal of opposing reports
Analysis & Audit
- UCR analysis
- Medical record documentation audits
- Coding and billing audits
- Upcoding and unbundling analysis
- Medical necessity documentation review
- Compliance and regulatory assessments
Matters We Support
- Payer and provider billing disputes
- Personal injury billing review
- Reasonableness of charges
- Fraud, waste and abuse matters
- Payer audits and appeals
- Regulatory and compliance actions
What We Deliver
Written Expert Opinion
A reasoned opinion on coding, billing and documentation, tied to the applicable guideline and date of service.
Expert Affidavit
Sworn written statement suitable for filing, prepared to your jurisdiction's requirements.
UCR Analysis
Review of billed charges against usual, customary and reasonable ranges for the geography and date of service.
Rebuttal Review
Analysis of an opposing expert's report identifying methodology and guideline errors.