Lawyer Monthly - June 2022

The proper billing of healthcare is essential to prevent the abuse of patients’ finances, often at a time when they are at their most vulnerable. Rules regarding correct billing for medical services are codified in the United States, yet it is not always clear to laymen whether or not they are being adhered to. In this article, medical billing expert Rebecca Reier explains how reasonable healthcare rates are determined in the US and the need for patients to be vigilant against unlawful upcoding of services. About Rebecca Reier “As President of Med-Econ, Inc., a medical practice management company, my experience spans a period of 45 years involving billions of dollars in coding and billing for medical charges for hospital services, ambulatory surgery centre and physician groups ranging from single practitioners to 40-member groups in over 22 specialties. Evaluating medical care fees, accounts receivable, coding and medical record documentation have been a daily activity for me for over 45 years. I am experienced as a medical billing expert specifically for medical billing litigation cases for major law firms in 39 states. I have provided services for plaintiffs, defendants and life care planners in addition to acting in the capacity of a patient advocate as a medical billing expert witness for attorneys representing patients being charged excessive fees by providers. I have made multiple presentations regarding the role of the medical billing expert witness. I have also authored Chapter 28 in the AALNC ‘Textbook on Principles and Practices Fourth Edition’ regarding the medical record and the concept of usual, customary and reasonable aspects of medical charges.” Rebecca Reier, President RN, BS, CRNA (Ret.), CCS-P President Med-Econ, Inc. Tel: +1 927-548-3064 ext. 7 E: What is the Role of a Medical Billing Expert?

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