⚡ Bill Slayer · Medical Bills
Audit your hospital bill like a billing expert.
Enter your CPT codes — AI hunts for upcoding, unbundling, duplicate charges, and modifier abuse, then generates a line-by-line dispute with the exact billing terminology to cut your bill by 20–60%.
20–60%
typical bill reduction
4
violation types detected
every line
expected vs charged per line
$19.00
$39.00
SAVE 51%
One-time purchase · Instant access · Use for any hospital or specialist bill
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The Problem
Hospital billing errors aren't accidents. Some are systematic — and they cost you thousands.
Upcoding — billing a more complex procedure than was performed — is the most profitable billing error
A 15-minute routine follow-up billed as a 99215 (high-complexity visit requiring 40+ minutes) can overcharge by $150–$300 on a single line. Multiply that across every visit in a hospital stay.
Unbundling adds hundreds by splitting charges that should be billed as one code
A comprehensive surgical procedure has one CPT code. Billing each component separately — anesthesia prep, the incision, the closure — is unbundling, and it's one of the most common violations NCCI edits exist to prevent.
Wrong modifiers bypass insurance bundling rules and pass the cost to you
Modifiers like -59 (distinct procedural service) exist for legitimate use. Applied incorrectly, they allow providers to bill separately for procedures that should be bundled — and the overcharge lands on your statement.
Professional billing auditors charge $150–$300 per hour to do exactly what this toolkit does
Certified professional coders who audit hospital bills for patients exist — they're expensive, hard to find, and usually only worth hiring for bills over $10,000. This toolkit gives you the same audit for $19.
What You Get
A professional-grade billing audit — in minutes.
🔍
Line-by-Line Code Audit
Every CPT code checked against standard billing guidelines — what it represents, what's typical, and whether the billed amount is consistent.
🚩
Four-Violation Detection
AI specifically hunts for upcoding, unbundling (NCCI edits), duplicate charges, and modifier abuse — with severity ratings for each finding.
📊
Expected vs. Charged Table
Side-by-side: what each code typically reimburses vs. what you were charged — the dollar gap that is your dispute target.
🩺
E&M Upcoding Deep Dive
Specialized audit for evaluation & management codes — the most commonly inflated codes in medical billing, checked against the complexity criteria they require.
💬
Violation-Specific Dispute Scripts
Different language for each violation type — upcoding disputes cite E&M guidelines; unbundling disputes cite NCCI edits; each is technically accurate.
📋
Insurance Denial Appeal
If insurance denied based on incorrect provider codes — a targeted appeal that argues the denial was appropriate and demands correct resubmission.
How It Works
From a confusing bill to a line-by-line dispute — in 15 minutes.
1
Enter your CPT codes and charged amounts
Request an itemized bill with CPT codes from your provider. List each code and amount into the audit prompt along with the visit context.
⏱ ~5 minutes
2
Get your full audit report
AI flags every violation with a severity rating, shows the expected vs. charged amount for each line, and ranks violations by dispute priority.
⏱ ~3 minutes
3
Generate your dispute and send it
Run the violation-specific dispute script for each finding. Send the consolidated demand letter and request your medical records to support the case.
⏱ ~5 minutes
20–60%
typical bill reduction when violations are found and disputed
15 min
to a complete audit
4
violation types checked
$150+
per violation found
Questions
Everything you need to know.
What's the difference between this and the Medical Bill Decoder?
The Medical Bill Decoder translates your bill into plain English — it explains what each charge is and how the insurance math worked. The Hospital Billing Code Audit actively hunts for specific coding violations: upcoding, unbundling, modifier abuse, and duplicate charges. The Decoder tells you what your bill says. The Audit tells you whether what your bill says is legitimate under standard billing rules. For maximum impact, use the Decoder first to understand your bill, then the Audit to find what to dispute.
I don't have CPT codes on my bill. How do I get them?
Request an itemized statement with procedure codes from the billing department — this is your right under federal law. Say: 'I'd like an itemized statement showing the CPT codes and diagnosis codes for each service.' Most billing departments will provide this within a few days. If they delay, follow up in writing. Without CPT codes, you have a summary statement — the itemized bill is what this audit requires, and it's also what every dispute and appeal process uses.
What is upcoding exactly — how do I know if it happened to me?
Upcoding is when a provider bills a higher-complexity or higher-cost procedure code than what was actually performed. The most common example: Evaluation & Management codes (99202–99215) are tiered by visit complexity and time. A brief, routine visit should be billed at a lower level. If your 10-minute medication check was billed as a 99215 (which requires 40+ minutes or high medical decision-making complexity), that's upcoding. The audit specifically checks your visit description against the documentation requirements for the billed E&M level.
What is unbundling and why does it matter?
Unbundling is billing separately for procedures that should be billed together under one comprehensive code. Medicare and most insurers use NCCI (National Correct Coding Initiative) edits — rules that specify which codes cannot be billed together because one already includes the other. For example, billing 27447 (total knee replacement) and 27310 (knee arthrotomy) on the same claim is unbundling — the joint replacement code already includes the arthrotomy. When unbundled correctly, insurers reject the duplicate. When it gets through, you pay for both.
The provider says their documentation supports the codes. Now what?
Request a copy of the medical records for this visit — specifically the physician's note that supports the billed E&M level or procedure. The documentation must explicitly support the complexity code billed. If it's a 99215, the note must document either 40+ minutes of face-to-face time, or high-complexity medical decision-making with specific elements. If the note says 'Patient doing well, BP 120/80, refill medications' and it was billed as 99215, the documentation doesn't support the code regardless of what the billing office says. The audit tells you exactly what documentation standards apply.
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