Medical Billing Experts

Determining The Usual, Customary and Reasonable Value of Medical Expenses Based On Full Bill Charges, Not Reimbursement Rates

Charge Rates Vs Payor Rates

Abacus Analytics provides analysis based on comparing a hospital or medical providers’ charge data to similar medical provider’s charge data, not government or commercial payor rates.

Healthcare Finance Experts

Retain an Abacus Analytics expert that has real world experience working on chargemasters and negotiating with third party payors. Abacus experts can effectively articulate the direct and indirect costs associated with providing medical care.

Cost Effective And Timely

Abacus Analytics valuation reports can be provided to your firm in less than 30 days. Whether the case is large or small, an Abacus Analytics medical billing expert can provide quality analysis without breaking the bank.

100k+

REVIEWED MEDICAL PROCEDURES

From Emergency Rooms, Physical Therapy, Imaging, Pain Management, Anesthesiologists and Surgical Centers, we’ve reviewed charges from all practice types.

YEARS OF COMBINED EXPERIENCE
WHAT TO EXPECT

The Abacus Analytics Process

We believe in an easy 1,2,3 process.

Agreement & Retainer

Sign our Retainer Agreement

Send us the Records

Send us all related medical and billing records

Pay Invoice, Receive Report

Upon payment you’ll receive a PDF valuation report

OUR METHODOLOGY

What is Usual, Customary, and Reasonable?

Abacus Analytics defines usual, customary and reasonable as follows:

1

USUAL

A fee is 'usual' when the charge amount equals the amount usually charged for a given service, by an individual physician to his private patient (i.e. his own usual fee)

2

CUSTOMARY

A fee is ‘customary’ when it is within the range of usual fees currently charged by physicians of similar training and experience, for the same service within the same specific and limited geographical area

3

REASONABLE

A fee is ‘reasonable’ when it meets the above two criteria and is justifiable, considering the special circumstances of the particular case in question, without regard to payments that have been discounted under governmental or private plans.

OUR PRICING PACKAGES

Choose one of our plans get access to our medical billing experts

BASIC REPORT
$ 295 /report
  • Review a single medical provider’s bills (CPT codes only; not to be used for deposition/trial testimony)
EXPERT RETENTION
$ 345 /hour
  • Review all medical provider’s bills and records for expert designation and deposition and trial testimony
NON-RETAINED EXPERTS
  • If you would simply like to have our experts review documents, help prepare for deposition or answer questions related to healthcare finance.

Most of our reports are delivered within 30 days of receiving the medical bills and records. If you need a report sooner, Abacus Analytics can provide a report on a rush basis, but additional fees may apply.

LATEST NEWS & ARTICLES

Check out our latest news and articles from the blog

2023: A Landmark Year for Healthcare Price Transparency and Valuation of Reasonableness of Past Medical Expenses

2023: A Landmark Year for Healthcare Price Transparency and Valuation of Reasonableness of Past Medical Expenses

The year 2023 stands out in healthcare price transparency, notably due to pivotal policy changes and compliance directives. These developments…

Does Anyone Pay 100% of Medical Bills?

Does Anyone Pay 100% of Medical Bills?

Sometimes patients pay 100% of the bill for a combination of the above reasons: gratitude, affluence, 100% insurance policy.

FIND US OUT AND ABOUT

INDUSTRY EVENTS

2023: A Landmark Year for Healthcare Price Transparency and Valuation of Reasonableness of Past Medical Expenses

1/8/24

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The year 2023 stands out in healthcare price transparency, notably due to pivotal policy changes and compliance directives. These developments are instrumental for legal

Does Anyone Pay 100% of Medical Bills?

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Sometimes patients pay 100% of the bill for a combination of the above reasons: gratitude, affluence, 100% insurance policy.
LET'S WORK TOGETHER

Are you ready to work with our medical billing experts? Start a conversation.