Start a Case Review

1

Your Information

Attorney / Contact Name *

Law Firm *

Email *

Phone

2

Case Type

Is this primarily a pressure-injury case? *

Yes Pressure injury / pressure ulcer is the principal wound issue. No — another wound-related matter Kellogg Consulting can review other wound matters, but scope and pricing will be confirmed individually.

3

Care Settings

How many healthcare facilities or distinct care settings are materially involved? *

1 2 3 or more

4

Principal Wounds

How many wounds are central to the case? *

1–2 3–4 5 or more

5

Clinical Time Period

Approximately how long is the clinically relevant period? *

90 days or less 91–180 days More than 180 days Unsure

6

Record Volume

Approximately how large is the record set expected to be? *

Under 1,000 pages 1,000–2,500 pages More than 2,500 pages Unsure

7

Additional Evidence

Does the review include substantial material beyond the medical record? Select all that apply.

Deposition testimony Facility policies / procedures Survey / CMS materials Photographs Other significant exhibits None / minimal additional material

8

Deadline

Is there a specific requested completion date? *

No Yes

Requested completion date Requested dates are subject to availability and confirmation.

9

Optional Review Focus

Is there a particular clinical issue you want emphasized? Maximum 600 characters. Do not include PHI or patient identifiers.