01Initial case review
Find the clinical issue.
AI-assisted record analysis followed by RN review narrows the file to the events, omissions, conflicts, and missing evidence most relevant to the case.
Fixed-fee review$750 flat feeUp to 500 pages · 5–7 business days
- Focused record screening
- Potential issue identification
- Specialty direction
Includes focused record screening, identification of material clinical issues, record gaps, specialty direction recommendations for further investigation, a concise screening 1–2 page written memorandum, and 20–30 minute phone conference.
Physician review, expert opinions, declarations, and testimony are separately scoped and quoted.
02Specialty clinical investigation
Investigate significant medical error.
A specialty-certified registered nurse conducts an in-depth investigation of clinical evidence indicating significant medical error across nursing, physician, hospital, and institutional care.
Professional rate$225/hour$1,800 initial retainer
- Specialty RN investigation
- Cross-disciplinary error analysis
- Focused findings and expert briefing
Includes focused forensic analysis of monitoring, escalation, clinical decision-making, documentation, communication, policies, and systemic failures.
Includes a written Clinical Investigation Report documenting the findings, supporting medical record references, unresolved questions, and recommendations for further expert review and confirmation, plus a consultation to discuss the findings and next steps.
- When physician review and confirmation is warranted, the findings are organized into a focused briefing containing all relevant evidence for the selected physician expert.
- When evidence supports an expert opinion on nursing-related errors, a specialty-qualified registered nurse will provide an independent expert witness declaration within their scope of practice and expertise for litigation support at no additional cost beyond the specialty clinical investigation fee. Deposition and trial testimony are separately scoped and quoted.
Offered only when the initial review identifies clinical evidence of significant medical error involving nurses, physicians, hospitals, or institutional systems.
03Independent expert opinion
Put it before the right physician.
Focused findings are directed to a physician with the specialty expertise needed to independently evaluate the clinical concern and provide expert witness declaration statements.
- Independent physician review
- Opinion, declaration, or report
- Specialty-matched expertise
Pricing guidancePhysician review — estimated hourly ranges
- General medicine and hospitalist review
- $450–$650/hour
- Emergency medicine
- $500–$750/hour
- Medical specialists and critical care
- $500–$900/hour
- Surgical specialists
- $625–$1,100/hour
- Cardiothoracic, trauma, neurosurgical, and complex spine review
- $800–$1,200/hour
Review, consultation, and preparation of an opinion, declaration, or report are scoped before work begins. Final rates and the initial retainer depend on the selected physician, record volume, complexity, and deadline. Highly specialized assignments may exceed these ranges.
Examinations, deposition and trial testimony, travel, and any MFIG coordination charges are quoted separately. Each physician’s opinion remains independent.