Medical Bill Audits
Ensure Accuracy. Uncover Errors. Gain Clarity on Medical Charges.
Accurate Medical Bill Audits for Injury and Malpractice Litigation
Not All Medical Bills Tell the Full Story
In personal injury, medical malpractice, or wrongful death litigation, accurate billing analysis can make a critical difference. Overbilling, duplicated charges, undocumented services, and inconsistent coding often inflate damages — or complicate negotiations.
Melissa Sims, RN, BSN, CLNC, CNLCP, LCP-C, provides comprehensive medical bill audits for plaintiff and defense attorneys across Florida. With her clinical background and legal experience, she helps identify billing discrepancies and offers clear, defensible documentation of what services were rendered — and what they actually cost.
Common Billing Discrepancies in Personal Injury and Malpractice Cases
Attorneys often encounter billing challenges like:
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Medical charges that don’t align with treatment records
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Duplicate procedures or services
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Inflated costs or non-indicated treatments
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Lack of correlation between provider documentation and billing codes
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Difficulty assessing the reasonableness and necessity of charges
Whether you’re challenging inflated bills or verifying damages for settlement, Melissa delivers the insight you need — backed by medical record review and cost expertise.
Why Attorneys Trust Melissa Sims for Medical Billing Analysis
Melissa brings a unique skill set to medical bill audits:
- Registered Nurse with hospital and insurance experience
- Certified Nurse Life Care Planner and Cost Projection Specialist
- 20+ years of paralegal experience in both plaintiff and defense litigation
- Skilled at cross-referencing billing data, clinical documentation, and CPT/ICD coding
Her process combines precision, professionalism, and clinical insight to help attorneys better understand the true value of medical services in their case files.
What Attorneys Receive in a Comprehensive Medical Bill Audit
Cross-Referencing with Medical Records
Review of documentation to confirm procedures were performed and billed correctly
Identification of Billing Errors
Flagging duplicate charges, upcoding, unbundled procedures, and unsupported services
Reasonableness & Customary Charge Assessment
Evaluation of billed amounts against standard rates and regional benchmarks
Organized Summary Report
Professional audit findings delivered in a clear, usable format for litigation teams, settlement negotiations, or mediation
When to Use a Medical Bill Audit in Litigation
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Evaluating economic damages in injury cases
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Challenging excessive billing from third-party providers
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Supporting or opposing claims for future care or reimbursements
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Preparing for expert testimony related to healthcare costs
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Offering objective analysis for negotiation or arbitration
Medical Bill Audit Services for Plaintiff and Defense Law Firms
Melissa provides medical bill audits to attorneys across Florida, including those in:
Miami
Tampa
Orlando
Jacksonville
Fort Lauderdale
West Palm Beach
Fort Myers
Her audits support:
Plaintiff attorneys seeking to validate and document damages
Defense attorneys evaluating the reasonableness of claimed costs
Litigation teams preparing for trial, mediation, or settlement conferences
What Sets Melissa Sims Apart in Medical Billing Review Services
- Accurate, clinical analysis tied directly to records
- Easy-to-read, litigation-friendly reports
- Experience working on both sides of the courtroom
- Professional communication and on-time delivery
- Transparent, defensible methodology
Take the Guesswork Out of Medical Billing
Melissa Sims Legal Nurse Consultant LLC
- Based in Naples, Florida | Serving Attorneys Across Florida
- 856-979-6885
- Email Melissa