Doctor Management Services

What are the differences between med legal billing and medical claims? Let’s take a look. First of all, they are not services that are “payer reimbursed” per se, but instead are services that are billed into a legal or insurance dispute process, typically associated with a workers’ comp or personal injury case, and thus have to be documented to withstand the scrutiny of attorneys and claims adjusters, not only insurance auditors. Time goes by, and there are disagreements. Med legal billing needs a team that understands both the medical coding side and the procedural rules that govern these cases, since a weak report or missing documentation can stall payment for months regardless of how sound the medical care was.