Stop Reacting.
Start Leading

For nursing homes, law offices, and insurance claims teams.
I help you turn complex medical and regulatory challenges into confident decisions.

Let's Meet Today

Nursing Homes
& ALC's

  • Pass your next survey.
  • Fix systemic gaps.
  • Avoid Costly Citations
  • Help with SOD’s, POC’s 
  • Help with just in time education for staff.

 

Law Firms
& Paralegals

  • Review Medical Records
  • Analyze Standard of care 
  • Prepare deposition questions
  • Train your team

Insurance
& MCO's

  • Medical Record Review
  • Causality Analysis
  • Elder care claims
  • Utilization Review

I Spent Two Years Inside Wisconsin's QIO.

Now I help facilities, attorneys, and insurers understand what surveyors and regulators are really looking for. 
As a Quality Improvement Advisor for both the state and federal QIO, and contracts, I didn’t survey facilities. I coached them. I analyzed their data, identified systemic gaps, and helped them fix problems before surveyors arrived.

Facilities - Care Audits

Both CMS and Office of Inspector General, DHS and DQA all has a clear 2025 – 2026 target list for facilities and quality of care. 
We help you stay ahead of it. 
*All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee*
Psychotropic & Antipsychotic Dx 
$1600 
10 day turnaround
Federal Regulators found that facilities were inappropriately Dx’s of schizophrenia to hide antipsychotic misuse.
Related Party “Tunnelling”
$2200 
10 day turnaround
Federal Regulators are now auditing inflated leases and management fees to related parties.
Classes and Education 
TBD based upon discussion
Staff training and education, creation, design, delivery. Including leadership workshops. 
Custom classes for your gaps. 
Psychotropic & Antipsychotic Dx 
$2000 
7 day turnaround
Federal regulators are looking at Medical Director Contracts for Anti-Kickback violations and PBJ reporting. 
OIG ICPG Gap Analysis  
$3500 
21 day turnaround
59 page compliance guidance. Surveyors will now be asking: “How do you align with the ICPG?”
Audits, SOD’s & POC’s
TBD based upon discussion
SOD, POC, DPOC and Writing available at fixed and hourly rates whichever is better. 
 
Controlled Substance & Opioid
$1300 
7 day turnaround
Federal Regulators have announced sweeping review of opioid controls in nursing homes and are reviewing it closely. 
New survey rules Mock 
$2500
10 day turnaround
New Rules: Surveyors must stay 5+ hours day 1 and must have consecutive first 2 days. We test your readiness. 
SFF, Nurse Consultant Oversight for flat monthly rate packages.
We can assist with regular nurse consulting oversight for SNF, LTC, and RN Delegation for ALC’s should you need that assistance.
 
Consider Using Our LIVING Document Policy System: 
A cloud-based policy management system built with free tools that turns static binders into a trackable reviewable auditable system. Every policy has a version history and next review date. Managed and kept up to date by us. 
Automated email reminders when a policy is due for review with highlights on changes. Staff acknowledgement forms, and designed education for any changes for you to present at the next staff meeting. Central, searchable, accessible from anywhere.
NO MORE DUSTY BINDERS & OUTDATED POLICY 
Plus custom education ready to deliver and learn. Learn more today!

Legal Nurse Consulting for Law Offices

I am a Registered Nurse with State and Federal QIO experience. I help plaintiff and defense attorneys understand the medicine behind the case.
My goal isn't to make you dependent on me. It's to show you the red flags before you invest hours in a case.
Medical chart review and chronology
$125/hour or Flat Rate Fee
Medical chart review and chronology
$125/hour or Flat Rate Fee
Standard of care analysis
$1500 – $3000
Expert witness coordination claim review
$500 – $1000
Attorney Education & Case Triage Training: 
Teaching your team how to spot medical red flags before you invest hours in a case. 
 $1500 – $5000 depending on the format.

Mostly flat fee. Confidential. Fast Turnaround.

Insurance Claims Consulting​

Claims adjusters: Stop guessing. Get a nurse's perspective.

Elder care facility claim review
$1500 – $3000
Medical record review for claims  $125/hour 
Independent medical record analysis 
$1500 – $3000
MCO, Insurance, Other Cases $125/hour 

Flat Fee's and Hourly Rates. Turnaround: 5-10 business days after receipt of records.