Clinical Review

 A CLNC is a registered nurse who has successfully mastered the rigorous certification program and passed the national exam. They have the expertise to quickly pinpoint and interpret medical and nursing issues in any case that involves health, illness, injury, medical equipment or treatment.

While the attorney is the legal expert, the CLNC is the expert on the healthcare system, medical care, it's documentation and inner workings. Nowhere else does the legal profession have access to this level of cost-effective expertise for reviewing medical records, as well as understanding medical terminology, standards of practice, documentation, nursing knowledge, abbreviations, medications and the subtleties of the healthcare system.

From the minute a potential case comes in the CLNC becomes an invaluable asset identifying the medical issues, screening the case for merit, making sense out of cryptic medical records and providing a multitude of other services relevant to the case. Check out the services page of this website for a complete listing. You only use those services you need for each case!

The services of a CLNC are far more cost-effective than those of a physician. Because nurses are the only healthcare providers who are face-to-face with the patients much of every day, they can educate attorneys about a wide range of medical and patient care issues. Nurses are also the experts on medical records, not physicians. The CLNC saves time and money otherwise spent on expensive medical experts.

Although needed resources are available in our own spaces, when necessary a case can be reviewed initially at the attorney's office with any follow up research and reports later completed at our own location. Most frequently the record is sent with the consultant or a complete copy of the record is made available to them. Either way, an appointment is made after the review is completed to meet with the attorney to discuss findings and to deliver the brief.

Absolutely! As insiders to the healthcare system, Clinical Review works with and has access to physicians and nurses representing every medical and nursing specialty, as well as forensic experts nationwide who are qualified to  determine causation and testify.

Yes, we can and do review individuals medical records for private parties, though we can only review what portions an individual has. It can be very difficult to get a full copy of medical record without an attorney's action to acquire it. 

For some of these clients they are facing an appeal and want their large volume of records reviewed and a chronological summary prepared to include with the brief they later complete with their attorney. In this case the report is notarized after completion. This service has been used for Veteran Affair claims and appeals.

A review of a record to determine merit should begin with an attorneys review though. An individual can then request the use of Clinical Review through the attorney to further review the record and submit a brief to them for consideration.

Absolutely I speak for others locations independently! Actually when speaking for PESI or Med-Ed Seminars this is done as a private contractor, as it would be taking content to a medical facility.

The normal process followed is to notify Cyndi of the need and topic your facility wishes to have covered. An agreement is made on both desired content and time allotment. Once an agreement is solidified, a letter of agreement is signed. This letter of agreement outlines the agreed on cost and content of the presentation, as well as the final date determined for presentation to be delivered.

The host location is responsible for arranging transportation and lodging for the speaker, as well as paying an agreed upon daily amount to cover extraneous daily costs, such as meals, etc. during travel days and speaking dates. It is routine that 50% of the honorarium is paid prior to the date of the speaking event (functionally this serves as a retainer of speaker services), with the final payment due the final date of the speaking event.

Absolutely! This is a frequently requested service made by insurance providers. Once the facilities charged fees are compared with the appropriate states averages, the insurance client is given a detailed report listing the CPT codes, what services they represent and what the normal charges are for that service in that locale. Both information from national statistics and from local inquiries is then detailed and made available to our client. At that point they can decide if an IME is appropriate and if negotiations with the facility needs to occur.