Clinical Review

 A CLNC is a registered nurse who has successfully mastered a 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 medical care, and the healthcare system, including 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, rather than physicians, are also the experts on medical records. 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 being completed at our own location. Most frequently, the record is sent with the consultant or a complete copy of the record is made available. Either way, an appointment with the client is made after the review is completed 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 who are qualified to review records, conduct independent medical exams (IME's), determine causation and/or testify.

We have taken part in numerous cases when asked to assist in a variety of functions for private individuals as clients. Whether we are assisting a nurse with a required consultation and education determined by the board of nursing, assisting strategic reviews for defense cases, delivering education to families on medical topics, or some other individual need, nearly a third of our work is with private individuals. And yes, we can and do review individual medical records for private parties, though we can only review what portions an individual has available. It can be very difficult to get a full copy of medical records without an attorney's action to acquire it. 

We have also assisted private parties with review of and chronological summary of their extensive records in preparation for an appeal. The chronological summary is prepared to include with the brief that they later complete with their attorney. The report and chronology are notarized after completion. This service has been used for Veteran Affair claims, as well as legal appeals.

A review of a record to determine merit should begin with an attorney. An individual can then request the use of Clinical Review through the attorney to further review the record and submit a report to them for further consideration on the medical interpretations of the case.

Absolutely, Cyndi speaks for others locations independently!  In fact, when speaking for PESI or Med-Ed Seminars, Cyndi speaks as a private contractor, just as she would when speaking at a medical facility. All of her materials and presentations are copyrighted by her, as she has prepared them all as a independent agent.

The normal process followed is to notify Cyndi of the topics your facility wishes to have covered. 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. Contact us for a brochure!

You bet we can! This is a frequently requested service made by insurance providers. Once the fees charged by the facility is compared with the appropriate state average, 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 region of that state. 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 negotiation with the facility needs to occur.