Scoped to the case, priced before the work.
Every engagement below can stand alone or combine. If you are not sure which you need, describe the matter and I will tell you — including when the answer is that you do not need one yet.
Seven ways I can support your case
Medical chronology
The foundation deliverable. Every clinical entry across every provider and facility, in strict date-and-time order.
- Bates-cited to the source page, line by line
- Provider, facility, and encounter type on every entry
- Clinically significant entries flagged, not just transcribed
- Delivered in Word and PDF; sortable spreadsheet on request
Merit screening
An early, honest read before you commit real money to a matter.
- Short written memo, not a full chronology
- Is there a plausible deviation, and where
- What would have to be true for it to hold
- What records you still need to answer the question
Standard-of-care analysis
Nursing and hospital-system care measured against what a reasonable clinician would have done.
- Each opinion tied to a specific record entry
- Assessment, monitoring, escalation, and medication administration
- Policy and protocol adherence where policies are produced
- Includes where the care met the standard — you need that too
Records audit & gap list
What you have, what is duplicated, and what is missing from a production that looks complete.
- Inventory by facility, date range, and record type
- Documents that should exist for this course of care but were not produced
- Illegible or partially scanned pages flagged for re-request
- Written as a request list you can send as-is
Deposition support
So the medicine is not being learned in the room.
- Clinical question sets for treating providers and nursing staff
- Cross-examination angles for opposing experts
- Plain-English brief on the disease process and the standard
- Post-deposition read: what the testimony conceded or contradicted
Demonstrative timelines
The chronology rebuilt as something a jury or mediator reads in one pass.
- Visual timeline of the critical interval
- Vitals and interventions plotted against each other
- Designed for projection and for print
- Built by someone with graduate training in information design
Records provenance analysis
Drawn from six years in hospital admitting and bed control — the department that generates a large share of the non-clinical record.
- Which department and system produced each document
- Registration, face sheet, and authorization records mapped
- Duplicate medical record numbers and mis-merged charts identified
- Bed assignment, transfer, and census documentation located
- Custodian-specific request language so the second production actually differs from the first
Timing is quoted per matter — after I have seen the records.
I do not publish standard turnaround times, because a page count alone does not predict how long a production takes. Two 2,000-page files can differ by a week depending on how they are organized.
You get a date before you commit
Tell me your deadline at intake. Once I have seen a representative sample of the production, I give you a specific delivery date in writing — and the engagement does not start until you have agreed to it.
What actually drives the clock
- Page volume, and how much of it is duplicated
- Whether the production is indexed or arrived unsorted
- Scan quality — illegible pages are the hidden cost
- Number of facilities and providers to reconcile
- Depth requested: chronology only, or analysis on top
If I cannot meet your deadline
You hear it at intake, and I decline the engagement. I would rather lose the work than hand a firm a missed date. If the volume turns out larger than represented mid-engagement, you get the revised date immediately — not at delivery.
Rush work
Expedited matters are considered case by case and quoted separately. Whether I take one depends honestly on what else is on my desk that week.
A short call and a look at the production is usually all it takes to give you a firm date. There is no charge for that conversation.
How the money and the records work
Fee structure
Hourly for open-ended review; flat project fee where scope is well defined. Most firms prefer a flat fee for chronologies because it makes the cost predictable. Rates are provided on request once I know the case specifics — a quoted number that ignores record volume is not a real number.
Written estimate first
No work begins without an agreed scope, deliverable, deadline, and price in writing. If the production turns out to be materially larger or messier than represented, you hear about the change before I continue — not on the invoice.
Confidentiality
A confidentiality agreement is signed before any records move. Review is performed by me personally and is never subcontracted. Materials are returned or destroyed at the close of the engagement on your written instruction.
Secure transfer
Records move by the encrypted method your firm already uses — your client portal, secure file transfer, or encrypted media. Please do not send protected health information by ordinary email or through this website's contact form.
Conflicts
A conflict check is run against the parties, facilities, and providers before I accept any matter. If a conflict exists, I decline the engagement and tell you promptly.
Consulting role
Engagements are as a consulting expert supporting your work product. Any question of testimony is a separate conversation, agreed in writing in advance and never assumed.