Why work with us

Twenty-six years at the bedside. Applied to your case file.

There is a meaningful difference between a consultant who has read about clinical practice and one who has spent a career in it. Here is what that difference looks like in the work.

The experience

26 years in skilled nursing and long-term care

Two decades of direct clinical practice in the settings that generate the highest volume of nursing home and elder care litigation. Assessments performed, care plans written, documentation completed under real conditions — with real staffing, real time pressure, and the real charting habits those pressures produce.

That experience is why our reviews identify things that summaries miss. When a care plan hasn’t been revised in four months, we know what should have triggered a revision. When a charting pattern looks routine, we know whether it reflects care that was actually delivered.

12 years in case management

Case management sits at the intersection of clinical care, documentation, and payer requirements — coordinating care across providers, conducting utilization review, and applying coverage criteria to real patients.

That background is why we can analyze not just whether care was appropriate, but whether the documentation supports the level of care claimed and billed.

Medicare guidelines expertise

Medicare rules govern how care is delivered, documented, and reimbursed across skilled nursing and long-term care. They set the standard for medical necessity, define coverage criteria, and shape the documentation that later becomes evidence.

We apply that knowledge directly: analyzing whether documentation meets coverage requirements, whether medical necessity is supported, and whether care decisions were driven by clinical need.

Medical record analysis

Reading a medical record and analyzing one are different skills. Analysis means following the clinical thread — connecting an assessment to the intervention it should have prompted, an order to whether it was carried out, a change in condition to whether anyone responded.

Every analysis is sourced. Every finding cites the page and Bates number it came from.

Legal and clinical experience combined

Clinical knowledge alone doesn’t produce useful litigation support. Understanding what attorneys need — the format, the sourcing, the standard of defensibility, the pace of a litigation calendar — is what turns clinical insight into a usable work product.

Process

What working together looks like

Step 1

Initial consultation

A short call to understand the matter, the clinical questions, and your timeline. No charge, and no obligation. If we’re not the right fit, we’ll say so.

Step 2

Written proposal

Scope, deliverables, timeline, and fee structure in writing before any work begins. No open-ended billing and no surprises.

Step 3

Review and analysis

Records are reviewed and analyzed against clinical standards. You have direct access to the consultant throughout — questions are answered as they arise, not saved for a status meeting.

Step 4

Delivery and consultation

You receive the work product in your preferred format, with a follow-up consultation to walk through findings. Ongoing support is available for as long as the matter runs.

Commitments

What you can expect

Response within one business day

To every inquiry, from initial contact through active engagement.

Fixed scope, agreed in writing

You know the cost and the timeline before work starts.

Direct access to your consultant

The person reviewing your records is the person you talk to.

Sourced findings

Every conclusion cites the record it came from.

Honest assessment

Including when the medical facts don’t support the claim.

Confidentiality

All materials handled under strict confidentiality protocols.

Have a case you’re evaluating?

Send the case type and your timeline. You’ll get a direct response within one business day and a clear answer on scope, turnaround, and fee structure before any work begins.

Response within one business day. No charge for the initial consultation.

☎ (713) 555-0182

✉️ info@rnlegalpllc.com

🕒 Mon–Fri, 8:30 a.m.–5:30 p.m. CT

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