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Legal Nurse Consulting for Inpatient, Post-Acute & Managed Care Litigation

Have you started reviewing the client's medical records or are they in the" I'll get to it later"pile? If they don't make sense yet, that can change.

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Welcome

At Nexus Nurse Consulting, we bridge the gap between medicine, law & utilization review. Led by a doctorally-prepared Registered Nurse, our work focuses on utilization, medical necessity, documentation integrity, and care-coordination failures that often drive liability in complex cases.

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We review:

  • How care decisions were made

  • Where they broke down

  • How those breakdowns impacted healthcare outcomes for patients

Across:

  • Inpatient (Including Case Management)

  • Skilled Nursing Facility (SNF)

  • Home Health

  • Managed Care/Utilization Review

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What is missing from this documentation?

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ED Progress Note:

Pt reports improvement in SOB after treatment. VSS. CTA O2 sats stable on RA. Will DC home. F/U PCP.

 

Nursing Note (30 mins later):

Pt reports continued SOB with ambulation. Requires assistance to bathroom. O2 sats 91-92% on RA. Provider notified.

Why Attorneys Choose Us

We analyze clinical decision making across the full continuum of care from inpatient hospitalization and discharge planning to nursing facility placement, home health services, and managed care authorization. We can trace where decisions changed outcomes and build chronologies that reveal why timing and authorization matter

 

Preparing for litigation? Let us help you by delivering timely, accurate, and actionable reports that strengthen your case and support your clients.

Deep Clinical Experience

We bring years of frontline and administrative experience across multiple medical settings and experience spanning across hospitals, nursing facilities, home health and managed care.

Utilization Review & Medical Necessity Expertise

We provide rare insight into medical necessity, insurance appeals, delays in care, and appropriateness of treatment.

Unbiased and Ethical

You receive objective analysis, free from bias, so your case is built on truth, integrity, and clinical accuracy.

DNP-Level Accuracy & Professional Judgment

With advanced clinical education and a doctorate-level understanding of healthcare systems, we deliver a level of credibility attorneys can trust.

Clear, Organized, and Fast Turnaround

Every report is structured, evidence-based, and delivered on time — without sacrificing quality.

Doctor Writing Notes

who we help

Plaintiff & Defense Attorneys

We work alongside both plaintiff and defense attorneys in personal injury, workers’ compensation, elder care, and complex injury cases. 
 

Medical Malpractice, Personal Injury & Wrongful Death Litigation

We provide thoughtful, clinically grounded analysis in cases involving questions about standards of care, escalation, discharge decisions, complications, and outcomes. 

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Family Law & Custody Cases Involving Medically Fragile Children

We support family law attorneys, guardians , and court-appointed teams when a child’s medical needs play a role in custody and safety considerations. We offer an objective understanding of the child’s condition, the level of care required, the risks of inconsistent management, and each parent’s demonstrated ability to meet those needs—always with the child’s well-being at the center.

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Insurance, Workers’ Compensation & Legal Partners

We collaborate with insurance teams, risk management professionals, and workers’ compensation counsel to provide clear, clinically informed interpretation of medical records, treatment progression, and care needs. Our structured timelines and balanced analysis support fair evaluation and resolution.

ready to get started?

Executive Making a Phone Call

Our Core Services

01

Medical Chronologies

Need just dates and times of medical events? This report analyzes and arranges care in date order so attorneys can quickly see what happened, when and by whom.

02

Case Analysis & Merit Screening

Is this case worth pursuing? Attorneys can save time with an early risk assessment before litigation begins

03

 Utilization Review Analysis

Clinical evaluation of whether care and placement were necessary and timely that may have contributed to injury.

04

Standards of Care Analysis

Heard of"Stare Decisis"? This is n evaluation of whether actions were consistent with what others would have done given the same circumstances

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Medical Record Review

Rather than simply organizing medical records, this review highlights what matters- what may be missing - so that attorneys can move forward with confidence before depositions or trial preparation.

Stay Informed. Stay Prepared

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Address

Contact

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Based in Sacramento, proudly serving the Greater Sacramento region.

Phone 916-232-8877

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