—Services

When You Need More Than a Standard Review

Each review is tailored to the specific questions your file raises. Here is what Evidence Based Consulting offers and when each service applies.

Standard of Care Evaluation

01

An independent assessment of whether the nursing care provided met accepted clinical standards under the circumstances present at the time. This evaluation considers what a reasonably prudent nurse would have done given the same patient, setting, and available resources. It identifies where care met the standard, where it fell short, and what that deviation means for the file.

  • Your team needs an expert opinion on whether the nursing care at issue was appropriate before deciding how to value or defend the file.

EHR Audit Trail Analysis

02

A forensic review of electronic health record metadata to determine when entries were created, accessed, or edited. EHR systems capture a hidden layer of data behind every note — timestamps, user IDs, and edit histories that the printed record does not show. This analysis can reveal late entries, altered documentation, and access patterns that raise questions about the integrity of the record.

  • There are concerns about documentation accuracy, timing discrepancies, or when the record does not seem to tell a consistent story.

Merit Review & Case Screening

03

An early evaluation of the file to assess clinical viability and exposure before your team invests significant resources. This review looks at whether the clinical facts support the allegations, identifies the strongest and weakest points in the record, and gives your team a clear picture of what you are working with at the outset.

  • A new file comes in, and your team needs a quick, reliable clinical assessment before deciding whether and how to proceed.

Medical Record

Review & Chronology

04

A clear, organized review of the medical record that identifies key clinical events, documentation patterns, gaps in care, and areas of concern. Written in plain language for claims professionals, not clinicians. The chronology gives your team a reliable timeline of what happened, when it happened, and what the record does and does not support.

  • The medical record is large, complex, or unclear and your team needs a reliable summary of the key clinical facts before moving forward.

Life Care Planning & Medical Cost Projections

05

A projected, itemized picture of a claimant's future medical needs and what that care is likely to cost over time. This service maps out anticipated treatments, equipment, therapies, and ongoing care based on the clinical record, then quantifies those needs into a defensible cost projection — not a rough estimate, but a plan built to hold up in negotiation or under cross-examination.

  • Your file involves a catastrophic or long-term injury and your team needs a defensible projection of future medical needs and costs before settlement, reserve-setting, or trial.

DME/IME Attendance

06

Clinical support before, during, and after an independent or defense medical examination, ensuring the exam is grounded in a complete and accurate record. This service prepares examiners with relevant medical history and diagnostics, then reviews the resulting report against the treating record for clinical accuracy, consistency, and gaps. The result is an exam finding your team can rely on and defend.

  • Your file requires an independent or defense medical exam, and your team needs the clinical record prepared beforehand or the resulting report evaluated for accuracy and consistency afterward.