Successful litigation outcomes often require a thorough understanding of a plaintiff’s medical expenses. This can be true whether you are counsel for plaintiff or defense. AGS medical billing professionals produce a variety of medical billing summaries and analysis that provide a complete and critical review of all the medical expenses associated with your case.

Designed specifically around the needs of counsel, these reports include not only a detailed summary of medical billing records, but also as required, a critical review and assessment of the expenses. This review and assessment helps identify related and non-related expenses, potentially missing billing records, adjustments and/or credits to expenses, whether the expense was paid and by whom. It can also help identify missing medical records, additional providers, pre-existing conditions as well as possible alternative causations.

We also serve the health care industry by providing medical record, billing and claim audits that measure the claim administrator’s performance in the areas of financial, payment and procedural accuracy, with the goal being to uncover payment discrepancies that result in overpayment. Examples are: duplicate payments, paying for uncovered services or for services not performed, and paying for a medical specialist without first getting a required referral. A complete audit also requires comparing annual, per visit or per day benefit maximums to insurance payments.

Overall, AGS medical billing review and audit team can save you time and money, while better preparing you for litigation or managing health care costs.