Billing Review for Law and Insurance
In today’s complex healthcare landscape, managing medical bill portfolios requires more than just basic review services. Whether you’re representing clients in personal injury cases, handling workers’ compensation claims, or managing large-scale insurance reviews, our comprehensive approach helps maximize results while minimizing costs.
Numina’s approach goes beyond traditional bill review services, offering in-depth analysis that serves both law firms and insurance partners. Our experienced team of clinicians and legal specialists works to identify discrepancies, verify treatment appropriateness, and ensure payment integrity at every step.
For Law Firms
We support your legal strategy by:
- Analyzing medical bills for litigation support
- Identifying treatment patterns and potential overcharging
- Supporting settlement negotiations with detailed cost analysis
For Insurance Partners
We enhance your existing review processes through:
- Detailed matching of Utilization Review determinations with provider bills
- Early identification of unauthorized treatments
- Streamlined handling of treatment discrepancies
- Proactive cost containment strategies
Our Comprehensive Review Methodology
Technical Review
Our experienced clinicians and nurses conduct thorough technical reviews, ensuring treatments align with accepted medical standards and authorized care plans. This process helps identify potential issues early, supporting both legal strategy and cost containment efforts.
Financial Analysis
- Validation of charges against standard fee schedules
- Identification of duplicate or inappropriate billing
- Analysis of treatment patterns and costs
- Assessment of reasonable and customary charges
Risk Management
- Early problem area identification
- Pre-loss risk reduction strategies
- Post-loss cost control measures
- Ongoing monitoring and analysis
Recovery Services
- Identification of improper payments
- Validation of coverage information
- Accelerated overpayment recovery
- Strategic recommendations for future cost containment
Our commitment to excellence is reflected in our team’s ongoing education and training. We maintain 100% accountability in our review process, ensuring that every analysis meets the highest professional standards while supporting your specific objectives.
Partnership Benefits
Working with Numina means gaining a strategic partner who understands both the legal and insurance aspects of medical bill review. We help:
- Streamline complex review processes
- Reduce administrative burden
- Improve cost containment efforts
- Support legal strategy and negotiation
