Written from doing the work, not from reading about it
Medical bill review, expert reports and New Jersey PIP, from someone who spent eight years assembling those files by hand before building anything to do it. Every number in these pieces is one we counted ourselves.
ACDF surgery (CPT 22551): what Medicare pays the surgeon, the hospital and the surgery center
At Medicare national unadjusted amounts, a one-level ACDF is $1,604.91 for the surgeon, $13,116.76 for the hospital outpatient department and $9,030.96 for an ambulatory surgery center. Which add-on codes are packaged, and how anesthesia is priced.
Hospital prices vs Medicare: a 240-hospital study
Hospitals' posted gross charges ran about three to six times their own Medicare amount, and posted negotiated rates about 1.2 to 2.5 times, across six outpatient codes in a random sample of 240 hospitals. The sample is not a census; no hospital is judged.
NJ PIP arbitration outcomes: 40.70% of claimed dollars
On the checked basis, arbitrators awarded 40.70 percent of claimed dollars across 94,137 NJ PIP arbitration decisions from 2020 to 8 May 2026, by year, month, claim size and carrier. Carrier shares differ, and the data cannot show why.
Medicare fee schedule changes for ten PI codes: the four dates that moved the rate
Ten codes we selected as frequent on PI and NJ PIP bills changed Medicare national amounts on only four dates from January 2023 to October 2026. How to price a date of service, and which CMS file (RVU23A to RVU26D) takes effect when.
Duplicate charges in a medical bill review: how to merge them without losing a real one
How to tell a restated charge from a separate one across a ledger, HCFA-1500, UB-04, EOB and lien, and the six rules that block a merge.
Medical bill with no CPT code: how to find the code
A bill with no CPT code cannot be priced. Ask the provider for a coded bill or claim form, then check the EOB, then a hospital's published charge file, and the rule for when a code is not usable.
How to file a NJ PIP arbitration demand on Forthright
Filing a NJ PIP arbitration demand on Forthright takes under five minutes and costs $200 or $225. The six steps, the other Forthright fees, who serves the demand, and what the state's Q1 2026 report says happens after filing.
Hospital price transparency files: how to find and read one
Most US hospitals must publish their prices in a machine-readable file. How to find it at /cms-hpt.txt, what to do when it is missing, what the 2026 rule added, and why one hospital's file is not a benchmark.
AI medical bill review: what the model can and cannot do
Can AI review medical bills? Where a language model fails on scanned bills, what OCR and deterministic code do instead, and what a person still checks before an expert signs.
Medical bill review prep time: the steps before the opinion
A 3,000-page bill review took three to four days to prepare by hand. The six steps in order, why no single step dominated, and why a missing bill is the costly error.