That's the job I do for families. I'm a registered nurse. I read the records, I tell you what's actually going on in plain English, and when it's more than one problem I make the calls, sit in the appointments, and keep everyone honest.
Every family is different, so we pick from this list together. Nothing here is medical treatment — it's a nurse standing next to you inside the system.
For when you have a stack of records and no idea what any of it means. You get back a written report: what's actually going on in plain English, the medications with safety flags, the gaps and loose ends nobody mentioned, and a numbered list of questions to hand the doctor at the next appointment.
Covers up to 75 pages. Beyond that it's $1.50 a page, and I'll tell you the number before I start. Delivered within five business days of getting the records, with a 30-minute call to walk through it.
Everything on the list above, as needed: the calls, the appointments, the hospital visits, the paperwork. I keep a log of every hour and you see it. One-hour minimum.
Or $625 a month — four hours, two scheduled calls, messages in between. Cancel whenever. Hospital bedside visits in the Houston area are billed by the hour.
Medicare, Medicare Advantage and private insurance do not reimburse a family for an independent patient advocate or care manager. That's true for every advocate in the country, not just me. It's why my fees are flat and told to you up front.
Since 2024, Medicare pays a physician's or nurse practitioner's practice to provide monthly “Principal Illness Navigation” for one serious condition (cancer, heart failure, COPD, dementia and others), “Chronic Care Management” for two or more chronic conditions, and “Transitional Care Management” after a hospital stay. You pay the usual 20% Part B coinsurance, which a Medigap plan usually covers. Not every practice offers it — ask. If yours does, use it. If it doesn't, that's the gap I fill.
Texas Medicaid STAR+PLUS members get a plan service coordinator at no cost. Some long-term-care insurance policies reimburse a care manager's assessment and coordination — check the policy. Veterans can get care coordination through the VA. Every hospital has a patient advocate or ombudsman you can ask for, free — they work for the hospital, but they can help. I'll tell you on the first call if one of these fits you better than I do.
Medicare allows the navigation work to be done by trained nurses under contract to a practice, billed by the practice. If you're a physician or NP who wants to offer this to your patients without hiring, see the providers page or call me.
You tell me what's happening. I tell you honestly whether a care review, ongoing help, or neither is the right fit — and if the answer is “call the doctor's office and ask this one question,” I'll say that instead.
A short engagement letter with the flat fee written on it, and a release so I can read the records and talk to the care team on your behalf.
You send what you have — portal printouts, discharge papers, photos of the medication list. I read all of it and come back with the written review and the questions to ask.
Many families only need the review. If the situation is still moving, we switch to ongoing help and I stay on it until it settles.
Or call 833-990-1622. If I'm with a family I'll call you back the same business day.
Registered nurse, licensed in Texas. I know how the system works from the inside: what a reviewer looks at, what they're required to consider, and what a chart has to say before they can approve it.