Bill analysis reviews itemized charges against the treatment record, identifying services billed but not documented, upcoded complexity levels, unbundled charges, duplicates, and amounts exceeding usual and customary rates.
It also separates charges related to the claimed injury from unrelated treatment.
Alternative Names:
Bill Review Analysis, Medical Charge Analysis
Why it Matters?
Billing analysis frequently reduces claimed medical specials substantially, and the reductions come from categories that are objectively demonstrable rather than argumentative: services with no supporting documentation, duplicate charges, and unbundled procedures. Separating injury-related from unrelated treatment is the other major category, since claimants routinely include charges for conditions predating or unconnected to the incident.
Frequently Confused with
Related terms
Frequently asked questions
What reductions does bill analysis typically identify?
Does the analysis require an expert?
