Services
Four lines of work.
Each engagement is scoped in writing before any opinion is formed. Fees are disclosed up front. The work below is what most matters look like.
01 · Case Review
Case Review & Expert Opinion
Independent review of the complete record — operative notes, imaging, anesthesia records, post-operative course, billing — with a written opinion appropriate for filing or for internal counsel review. The opinion is written from the record forward, never from the brief's framing.
- Initial review of records, imaging, and timeline
- Identification of the actual standard-of-care questions
- Written narrative opinion with citations to record pages
- Supplemental review as records are produced
Typical engagement · Initial review 2–3 weeks · Fixed-fee or hourly
02 · Testimony
Deposition & Trial Testimony
Sworn testimony at deposition and at trial, with preparation grounded in the specific factual record. The opinion offered under oath is the same opinion offered in writing — counsel knows, in advance, what will be said and what will not.
- Deposition preparation with counsel
- Direct, cross, and redirect testimony
- Demonstrative-aid review prior to trial
- Travel as required (CONUS)
Typical engagement · Hourly · Half-day and full-day rates
03 · Peer Review
Peer Review & Quality Assurance
Internal review for hospital systems, DSOs, and credentialing committees — performed under peer-review privilege where applicable. The deliverable is a written assessment with practice-pattern observations, not a punitive finding.
- Chart review against current AAOMS / ABA standards
- Practice-pattern analysis across providers
- Sentinel-event reconstruction
- Privileged written assessment
Typical engagement · Hourly · Confidentiality and privilege protected
04 · Retainers
Advisory Retainers
Ongoing advisory access for insurers, DSOs, and counsel handling recurring OMS volume. A retainer makes early-case triage and informal consultation predictable; matters that develop into full engagements are billed against the retainer.
- Quarterly or annual retainer terms
- Same-week response on intake calls
- Triage opinion before formal engagement
- Standing access to written analysis
Typical engagement · Quarterly or annual · Scoped per organization
Not every matter is a fit. When the medicine in a case does not support an opinion, that is communicated in writing before depositions are scheduled and before significant fees are incurred.
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