I am a practicing emergency medicine physician associate. I review ED and urgent care records for attorneys and tell you whether the care holds up, what is missing from the record, and whether the case is worth your money.
One patient, one ED or urgent care encounter, up to 200 pages. Half the fee credits toward a full review if the matter goes further.
Seventeen years in emergency departments and urgent care, currently lead PA at a Connecticut community emergency department. I read charts the way they were written, under the same time pressure.
In many states the standard of care for a physician associate has to come from someone who actually knows PA practice. Scope, supervision, and escalation questions do not map cleanly onto a physician expert.
The question at intake is simple. Is there a standard-of-care problem here worth pursuing, or is this a bad outcome with defensible care? Answering it should not require retaining a full expert, waiting three weeks, and spending four figures before you know whether the file is worth anything.
The merit screen answers that question in a page or two, in 72 hours, for a fixed fee you know before you start.
That is the whole point of a fixed fee. I am not paid more for finding a case than for killing one, and the memo you get back is written to be useful either way. The sample memo on this site does exactly that: it identifies five real documentation and standard-of-care problems, then spends a full section explaining why a defense expert would push back on each one and recommends supplementing the records before committing to a full workup.
Send the party names and the facility. I run the conflict check the same day at no charge, before any case facts change hands.