Medical Bill Review

Medical Bill Review: Ensuring Fair, Accurate, and Justifiable Medical Charges

Are the Medical Bills in Your Case Inflated or Unjustified?

Medical billing errors, overinflated charges, and unnecessary procedures can dramatically impact settlement negotiations and trial outcomes. Attorneys handling personal injury, medical malpractice, or insurance defense cases need to ensure that medical expenses are reasonable, customary, and directly related to the injury in question.

At J. Quinn Consulting, we provide comprehensive medical bill reviews, helping attorneys identify billing discrepancies, duplicate charges, and inflated costs. Whether you’re working to challenge excessive claims or verify fair billing, our detailed, data-driven analysis ensures that medical expenses align with accepted coding standards and industry pricing benchmarks.

Our Flat Fee Medical Bill Review

Streamlined, Defensible Medical Bill Analysis for Legal Teams

Our Flat Fee Medical Bill Review service is designed for attorneys who need a clear, organized evaluation of medical charges to determine whether they are usual, customary, and reasonable (UCR). Ideal for cases involving complex or high-volume billing, this service helps uncover duplicate charges, overbilling, and coding inconsistencies that could impact your case outcome.

What’s Included:

Detailed review of medical bills and associated records
Compilation of all charges into a structured, easy-to-follow worksheet
Direct communication with your legal team for clarification and case-specific insights
Preparation of a final report with findings and supporting rationale
Standard turnaround time: 4–6 weeks

*This service includes up to 750 charge values. Additional charges apply for larger datasets.
Need it sooner? Rush services are available for time-sensitive cases with expedited delivery timelines.

Our Medical Bill Review Process

Step 1: Comprehensive Charge Analysis

We meticulously review all medical bills associated with a case, evaluating:

Charge accuracy based on medical coding guidelines
Whether billed services are directly related to the injury or condition in question
Consistency with usual, customary, and reasonable (UCR) charges for the client’s geographical area

This ensures that attorneys can challenge unjustified costs and ensure a fair financial resolution.

Step 2: Identification of Errors & Overcharges

Medical billing errors are common and can significantly impact settlement amounts. We check for:

Duplicate charges for the same service
Billing for services not actually provided
Upcoding—where a more expensive procedure is billed than what was performed
Unbundling—where services that should be grouped together are billed separately to increase costs

By identifying these discrepancies, we help reduce unnecessary expenses and strengthen your case with fact-based evidence.

Step 3: Review of Coding & Pricing Methodologies

We evaluate whether accepted medical coding practices have been followed, ensuring that:

Billing codes match the services provided
Charges align with regional medical cost standards
Pricing is consistent with market rates and UCR charges

This process prevents excessive billing practices from distorting settlement negotiations.

Step 4: Expert Testimony & Case Support

If necessary, Jim Quinn provides expert support to defend medical bill review findings in:

Depositions
Trial testimony
Written reports clarifying billing discrepancies

Jim’s ability to explain complex billing data in simple terms helps attorneys make stronger arguments for fair and just case resolutions.

Why Attorneys Rely on J. Quinn Consulting for Medical Bill Reviews

Uncover Overinflated Medical Costs – We help plaintiff and defense attorneys determine if charges are excessive, unreasonable, or unrelated to the case.
Ensure Compliance with Medical Coding Standards – Every bill is evaluated for accuracy, legitimacy, and adherence to accepted medical billing practices.
Defensible, Fact-Based Reports – Our data-driven analysis stands up to legal scrutiny, providing attorneys with clear, court-admissible documentation.
Region-Specific Cost Analysis – We use geographic-based pricing research to determine what is truly usual, customary, and reasonable (UCR) for a given area.
Expert Witness Testimony – Jim Quinn is experienced in county, state, and federal courts, offering clear, confident expert opinions on medical billing practices.

Need a Medical Bill Review for Your Case?

If you’re handling a case involving uncertain or excessive medical charges, let J. Quinn Consulting provide an unbiased, accurate review to ensure fair financial outcomes. Jim is happy to help you look at the medical bills for any current cases you may have. Please contact James (email or telephone 215-486-4009)

Licensed Registered Nurse
Future Medical Care and Cost Expertise
Objective Life Care Plans and
Medical Cost Projections