I read your charts against the payer's own coverage criteria before the payer does. You get a report that leads with the dollars at risk and a fix list ranked by impact — not a lecture on documentation.
Twenty to thirty charts, reviewed against the payer's published coverage criteria for the services you bill most — LCDs, NCDs, and Medicare Advantage medical policies. You get a written report that leads with the dollars at risk, a fix list ranked by impact, and the specific documentation elements each denied service is missing.
$1,900 minimum (20 charts). Ten business days from the day the charts arrive. Includes a 30-minute walkthrough with you or your clinical lead. This is a clinical read by a nurse, not a coding review — it tells you why the reviewer said no.
Same appeal I write for families, on your letterhead or mine: the insurer's own policy quoted back, the chart mapped to every criterion with page citations, delivered within 48 hours of complete records. Second-level appeals $550. Volume pricing if you have a stack.
Medicare pays practices monthly for Principal Illness Navigation, Chronic Care Management and Transitional Care Management, and allows the work to be done by a trained nurse under contract to the practice. If you want to offer it to your patients without hiring, I'll do the navigation and the time logs; you bill.
You tell me which payers and which services are denying. I tell you whether an audit will actually move the number, and what the sample should look like.
One flat price on paper. No chart leaves your building until both are signed.
Secure upload. Ten business days later you have the report: dollars at risk first, then the fix list, then the chart-by-chart detail.
Thirty minutes with you or your clinical lead on what to change in the templates tomorrow. If you want appeals written on the denied claims, that's the next conversation.
Or call 833-990-1622.
Elder-law attorneys, hospice and palliative social workers, oncology navigators, geriatric care managers, discharge planners — you see these families constantly and there's rarely anyone to hand them to.
Send them to me for an appeal or a care review. I'll close the loop with you on what happened, with the family's permission, and I'll never sell them anything they don't need — the first read is free and I say no when it's a no.
Get the one-page referral handoutRegistered 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.