Case results

One trial result, and the work behind his opinions.

The first case is a jury verdict where Dr. Friedman offered his opinion on the medical bills. The other two are background: a hospital bill he got reduced to zero, and the payer audits where he learned how hospital bills go wrong. He has also been retained by the U.S. Department of Justice.

$10.6M
jury verdict
Wrongful death · Plaintiff

A wrongful death verdict against a tobacco company

A woman who started smoking as a child died of lung cancer, and her family sued the tobacco company. Dr. Friedman reviewed the medical bills and offered his opinion for the plaintiff's counsel. The jury awarded $1.6 million for medical expenses as part of a $10.6 million verdict.

Read about the case
001
$0
owed by the widow
Background · Hospital billing error

A $90,000 bill sent to a widow, reduced to zero

A man died in surgery after arriving at the emergency room. The hospital billed the claim the wrong way, both insurers denied it, and the hospital sent his widow to collections for $90,000. Dr. Friedman found the coding error and took it to the hospital president.

Read the full story
002
30%+
of audited cases with significant errors
Background · Payer audits

Hospital DRG audits for insurers and Medicare

For Blue Cross plans, national HMOs, Concentra and Medicare's Region A recovery audit program, Dr. Friedman designed and ran the audits that decide whether a hospital was paid correctly. By his account, roughly 30 percent of the DRG cases his team audited turned up significant errors.

What DRG audits find
003

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