Committed To Helping Our Clients Succeed

You Need a Reliable Medical Consultant

  • We are available for ANY case where an injured individual interacted with the healthcare system


Our goal for your case is your goal

A Winning Resolution

A medico-legal nurse analyst works on any case that contains medical issues.  Having a nurse on your medical legal consulting litigation team means efficient analysis or summary of medical records.

Use our insight into internal nuances of healthcare delivery systems to your advantage. It’s the little things. The most critical data is often the hardest to find. We know where to look!

We pledge to provide professional, cost-effective, time saving strategies that will assist your practice in realizing a competitive edge in medical litigation.

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27 Years of Experience

Our clinical background is trauma and critical care. We have taken part in the trauma systems of multiple states and remain active in trauma prevention outreach.

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Risk Free Guarantee

If you are not satisfied with our work product, notify us within 10 business days and we will revise our work product to meet your specifications. AT NO cost to you

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Our team customizes services according to your need.
We provide only those services needed to assist you in building a strong case with the goal of a successful resolution.

In the News

Updated Sentinel Event Statistics for 2017

View latest sentinel event data.

Despite Failure to Repeal, ACA Has Changed

In summary, an estimated 22 million more individuals will be uninsured by the year 2026.

Injury & Litigation

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Committed to Helping Our Clients Succeed

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We review medical records for injuries, treatments, damages and contributing factors.

Our nurses have experience with both medical chart notes and billing records in many personal injury cases. What we offer our clients includes analysis or summaries, chronologies and pain and suffering reports. We review retrospective bills on injured parties and compare them to stratified historical claims data. We will attend medical exams and be your expert eyes and ears in the room.

A nursing analyst understands the nuances of healthcare treatment and can pick up on subtleties in treatment records that a non-medical professional might not.

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Traumatic Brain Injury (TBI)

CDC defines a traumatic brain injury (TBI) as a disruption in the normal function of the brain that can be caused by a bump, blow, or jolt to the head, or penetrating head injury. Everyone is at risk for a TBI, especially children and older adults.

Personal Injury

The CDC   Solid basic information, excellent statistics, epidemiology and good resources for coaches, parents and healthcare providers.

National Institute of Neurological Disorders and Stroke  Focuses more on moderate to severe traumatic brain injuries and is a solid source for current clinical trials and resources for patients and families.

Medline Plus  Excellent resources from the US National Library of Medicine.

Test your concussion Knowledge

What are the four major categories symptoms of concussion fall into?
thinking/remembering, physical, emotional/mood, sleep
Those with a concussion may sleep less, T or F?

T: sleep patterns can vary from more than usual, less than usual and difficulty falling asleep

Most symptoms develop right away, T or F?

F: while some develop right away others may not be noticed for days or even months or until the person resumes their everyday life. Sometimes, people do not  recognize or admit they’re having problems.

The symptoms can be masked if the patient loses a loved one during the traumatic event, T or F?

T: feeling slow down, sadness, feeling tired or no energy are also signs of depression and loss.

Regardless of your specialty, whether Plaintiff or Defense us today for assistance in winning your case

You will be pleased our level of cost-effective expertise for analysis of medical records and our understanding of the subtleties of healthcare. Our team customizes our services according to your need. We provide only those services to assist you in building a strong case with the goal of a successful resolution

 We work with each client to determine your plan, work project and budget.

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Billing Analysis

A medical billing analysis consists of two distinct processes, the Financial Review and the Clinical Review of related charges.

Financial Review

This is a line-by-line analysis besides a comprehensive claims edit analysis to determine billing accuracy considering a review based on historical claims data.

This process includes reviewing Usual, Customary and Reasonable charges for facilities in your zip code, average billed charges by procedure code (CPT, HCPCS, ICD9, etc.) and facility

Clinical Review of Related Charges

This is a thorough review of the medical records performed by a trained Registered Nurse primarily to determine necessity of medical treatment for any accident-related injuries.

This process also can involve an in-depth review of the hospital bill to validate charges.

Are you looking for a solution to reduce medical bills?

If your firm is searching for solutions to hospital liens or medical liens, our information has been proven to be useful in solving those issues.

If you are looking for answers on medical bills or healthcare reimbursement, please call us and allow us to get you answers.

What are the common coding systems you would encounter during a financial or clinical review?


What are the eight most common billing errors?
  1.  Duplicate charges: Check for duplicate charges to make sure you were not billed twice for a service or procedure. With an itemized bill, it should be much easier to spot.


  2. Canceled tests or procedures: Patients are sometimes charged for a test or procedure ultimately canceled. If you think you were wrongfully overbilled, collect all the documents to prove that you did not receive the service, and dispute the charge.
  3. Incorrect patient information: Small errors — incorrect name spellings or policy number misprints — are common on medical bills. If your insurance ID number is wrong, it can lead to a claim denial or a amount sent out by your health plan.
  4. Upcoding charge: A hospital may fraudulently inflate a patient’s diagnosis to one that represents a more serious procedure, leading to a higher medical bill. For example, you may have received the lowest level of emergency room services but be billed at the highest level. This is an illegal, fraudulent practice, and ask your healthcare provider to correct the charge immediately.
  5. Unbundling of charges: This is when separate charges are billed to you that should have been filed under one procedure code. This mistakes can inflate costs to you, but is tricky to identify. If you suspect such a mistake on your bill, you can reference the National Correct Coding Initiative by the Centers for Medicare and Medicaid Services for help.
  6. Balance billing when in-network: This occurs when a doctor or hospital bills you for charges other than co-payments, co-insurance, or any other amount than what was assigned by your insurance company. Balance billing is often improper when the care was provided by an in-network hospital or physician. If you think you’ve been balance billed, compare the bill with your EOB to make sure.

  7. Incorrect quantity: Check for incorrect quantities of items or medications on your bill. This mistake could be as simple as an extra “0” placed at the end of a number by the billing department — 100 pills instead of 10, for example.

  8. Operating room and anesthesia time: If you have undergone surgery, check your medical records to see how long you were in the operating room or under anesthesia. Because patients are usually billed in 15-minute increments in these instances, mistakes here can add up quickly.

Besides checking for medical bill errors MHS recommends checking for potential price gouging. Among the sample items and charges the organization has found on its clients' medical bills:

One alcohol swab: $23.

Medicine cup (the small, paper cup; not the actual medicine): $18.

One pair non-sterile gloves: $53.

A small piece of gauze: $20.

Sanitary napkin (just one): $16.

Consumers should also view as suspect any charges that are vaguely identified — such as a $2,000 charge for medical supplies or "miscellaneous" services.

Read Full Newsmax Article Here 4 in 5 Medical Bills Contain Errors: Here's What You Can Do |

Medical records tell a story

Medical records summary requires a very specific skill set that not all professionals possess.
Thankfully the consultants at Vital Health Link do.

A nursing analyst understands the nuances of healthcare treatment and can
pick up on subtleties in treatment records that a non-medical professional might not.

We can assist you in successful case resolution in the following ways:

Recognize missing documents and possible evidence of tampering
Presentation on EMR basics available at no cost
Testify as an expert for financial reviews, clinical reviews
Medical records summary and analysis

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Record Review

Medical record summaries are a synopsis of patient information, we typically recommend one of two types based on the case

Narrative Summaries

Overview of the information in the patient medical records for quick assimilation of the most pertinent information

Comprehensive Summaries

Exhaustive analysis of the patient’s medical records

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Cost Projections

These reports are popular with attorneys because they can cut and paste specific portions into the demand letter, saving much time and effort.

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Excellent tool for mediation and settlement.

Testify as an expert in medical cost projections

Our nurses have experience with both medical chart notes and billing records in many personal injury cases.

What we offer our clients includes:

Chronology of events, an organized approach of what happened when.

Case summaries, an outline of the client’s care to date and potential strength and weaknesses.

Pain and suffering reports, a chronology of events of your client’s medical procedures and surgeries.

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Creation of "cost analysis or cost projection" report

A future medical "cost analysis or cost projection" report is a tool designed to help you receive what your case is worth in the settlement process. It can also help you to understand the specifics of the medical condition and the projected medical care and potential complications.

Options vary from there

We can interview client or compile and base recommendations on medical records and IME/DME’s.

We compile a future medical cost projection for you that contains a breakdown of all future medical needs, be it hospitalization, physician office visits, PT or supplies

We can write a narrative report for you differentiating between the initial, intermediate, and then permanent injuries; and/or  treatments involved and your client's response, and then the resultant issues that reflect likely future complications and future needs.

Do I need life care plan or a medical cost projection?

Snapshot of current needs


Estimate the needs to return to the injured individual to independence


Long-Term future medical projections


Non-catastrophic injury expected to settle


Taking this grid to mediation with you makes it so much simpler to demonstrate, in black and white, exactly the needed settlement costs of future medical care

Advocate for Attorney and Patient

Independent Medical Exam (IME)

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Defense Medical Exam (DME)

Concerned for your client during IME/DME attendance and understanding what actually happened, especially regarding all health issues and problems?

We attend the exam and provide you with a thorough written report, audio recording and if requested video recording. 

Worker’s Compensation and workplace injuries

Assisting client’s while navigating the healthcare system to ensure timely treatments and maximum medical improvement status.

Medicare Set-asides

Vital Health Link has experience handling the different steps of the MSA process with CMS (Center for Medicare and Medicaid Services) for you.  Besides the report itself, we can handle the Medicare confirmation/lien verification, and the submission of the MSA to CMS.

Reference the injured worker’s timelines against the “best practices” RTW guidelines to identify variances in recovery.

Interpretation of  the Official Disability Guidelines [ODG] and the normal time frame as expected for RTW [return to work] and the national average

Nurse Case Management Services

The most important part of any personal injury case is that the client gets better. An injury can be stressful and can really prevent someone from performing their normal everyday tasks so getting the proper medical treatment needed is what really counts.  We can be available to help the client along through the medical system and answer their questions while keeping your office informed of updates. We can identify resources, advocate for the client, collect data including costs and client status.

Catastrophic Injuries

Catastrophic injuries are life-changing injuries that usually occur suddenly and without warning. They have long-term implications, which may not be apparent until years later after the accident occurred.

Catastrophic injuries include all types of injuries that occur suddenly and cause long-term or permanent injury. It is common for catastrophic injuries to damage the central nervous system, which may in turn damage other bodily systems.

Examples of catastrophic injuries are accidental amputation or dismemberment injury, brain injury, eye injury, foot injury, multiple bone fractures, serious head trauma, severe burn injuries, and spinal cord injuries.

Victims of catastrophic injuries will likely require long-term medical care, and may never be able to work again.

In addition to the physical pain and emotional impact of catastrophic injuries, the financial consequences may be overwhelming. An injury claim can provide compensation for medical bills, lost wages and pain and suffering.

Do you know the considerations of determining whether a settlement requires an MSA?

Is the claimant a Medicare recipient?

Is there a reasonable expectation that the claimant will be a Medicare/Medicaid recipient within 30 months and is the settlement $250,000 or greater?

Has the claimant applied for Social Security Disability Income (SSDI)?

If SSDI has been applied for and denied, is there an appeal?

Is the claimant age 62 years or older?

Is the claimant in End-Stage Renal Disease (ESRD)?

Medicolegal Record Review & Analysis

Allow us to be the ”link” by putting in a request for medical records
that completes the medical puzzle or assists in finding the smoking gun.

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    Negligence & Malpractice

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Merit Review

What's available?

Verbal report for merit for flat rate

Written report

Customizable to your need

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Customized Narrative, chronological or timeline reports produced

Like your team, our team has a systematic way of looking at what happened, illustrating causation, breach and duty and analyze documentation compared to standard of care.

Unlike yours, a medical record and the nuances of healthcare systems have been in our day-to-day activity for years.

A easily understood technical written report is available and customizable. You choose the level of service!

Review our service options

  • liability with standards of care
  • missing records
  • related damages
  • contributory or comparative negligence
  • conflicts of interest
  • defendants and experts
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We provide chronologies in the format of your choosing. If you request this service, you can access the specific record that corresponds to an item on your chronology or timeline within seconds via hyperlink.

We bring clinical knowledge and experience, real world experience with standards of care which allows us to analyze the care is provided and that recognize missing elements.

Chronologies are very useful in reducing voluptuous medical records to a convenient, effective document. 

Particularly effective for Veterans cases and complicated medical negligence and malpractice cases

We are pleased to build upon your paralegals chronologies and add medical viewpoint.

Chronologies  can depict an entire event or specific to one issue such as complaints of pain or loss of function

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Negligence and Malpractice

Statistics state that a patient with coronary artery disease, congestive heart failure, or diabetes will have 12 physicians managing their care on an outpatient basis. Do you know what twelve medical specialties these would/should be?  We do!

We have investigated claims of malpractice and negligence cases from a within a healthcare system commonly known as Sentinel event analysis.

Medical errors with the highest incidence rates were failure to rescue (death among surgical inpatients with serious treatable complications), decubitus ulcer, post-operative respiratory failure, and post-operative sepsis.

Professional and experienced Registered Nurse Analyist

Why Choose Our Firm

  • Experience

    This highly competent team is well-versed in hospital policy, review and analysis of medical records and peer review across disciplines.

  • Transparency

    We believe communication is the key to success. After a complimentary initial consultation we work with you in setting forth a project plan and budget.

  • Unparalleled Customer Service

    Injuries and quality of care have been our focus throughout our careers. Our two main nurses combine for over 60 years years of clinical experience and 23 in the medico-legal arena.


About the Owner, Suzanne Rector, RN, LNC, BSN, MAA

Suzanne knows of hospital procedures, review and analysis of medical records and peer review across disciplines gained through years as a nurse educator and a nurse executive. She is a Registered Nurse with seventeen years of hospital administration, intensive care, trauma and emergency nursing. 11 years of nursing analyst doing cost projections, billing analysis for usual customary and reasonable, merit reviews and other services as requested.

Vital Health Link was founded by Suzanne Rector, RN, BSN, MAA and is in Vancouver, Washington. We offer medical legal consultation for any legal proceeding requiring medical or nursing expertise. We are experts in injury analysis, billing analysis, record review and cost projections utilized in personal injury and transportation litigation cases. Trauma and resulting injuries are a passion.

Suzanne is a United States Army Military Veteran. She served on a rapid deployment team and in a MASH hospital. Suzanne was fortunate enough to study and learn trauma services at a level I (the most acute) and level II facilities. She took that knowledge and help foster trauma care at a level III facility and as part of the Washington State Governors Steering Committee.

Our Owner, Suzanne Rector RN, LNC, BSN, MAA has a clinical background in critical care and trauma, as well in  hospital education and administration and brings forward that experience and leadership to the legal nurse consult  arena.

Suzanne has worked on personal injury cases, worker’s compensation, toxic tort, nursing negligence and medical malpractice. She provides cost analysis or projections, MSA, medical record analysis or chronology services for various entities.

My nursing and consulting careers are a direct reflection of who I am as a person. I am a dedicated, self-motivated individual that is results oriented. As indicated by my military experience and pursuit of higher education, I am extremely goal oriented in my personal and professional life.



I am a doctorally prepared nurse (RN) and nurse practitioner (NP) with over 30-years of clinical and academic experience.

I have clinically practice as a NP working as a hospitalist working 4-6 shifts per month. I am a full time Clinical Assistant Professor teaching in the undergraduate curriculum as well as working with Doctor of Nursing Practice students at the University of Alabama in Huntsville.

In the undergraduate curriculum, I teach clinical courses that require taking students into medical-surgical or critical care units (ICU and Emergency Department) for their clinical requisites. I have been a nurse expert for medical-legal cases since 2004 opining on standards of nursing care. I have given over 35 depositions and testified in trial in several states.

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  • We know healthcare and medical records
  • Our Client's Reviews

I have known Suzanne for approximately two years as a business associate where we have worked together developing advanced medical management programs for clients.

Suzanne is a thoughtful, considerate person of strong character and ethics. Her presence has affected other people around her in a very positive and rewarding way, and her leadership, confidence and problem solving skills inspire colleagues and clients to achieve the best possible results for each project.

For all of these reasons, I strongly recommend Suzanne for any leadership position in the legal nurse consulting and medical management field

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    Robert J. Blackburn, CPCU

    President at Blackburn Group, Inc

Suzanne has comprehensive experience in her field and has been able to provide detailed analysis in a well organized and easy to read format. She has provided me with particular information on missed diagnosis due to complex trauma injury. I would highly recommend her.

  • Daren Rubenfeld, P.A.

    West Palm Beach, FL

Suzanne is an excellent LNC!!! She is just one of the very best! Her work is stellar. Perhaps it's her time in the military and her ability to organize and produce a quality product that makes her so valuable.

She is fast, efficient, accurate and just spot on! Any attorney or adjuster would find that she produces quality work. She is a fast learner and extremely easy to work with. I would provide personal and professional recommendations for this legal nurse.

I do hope that anyone considering her for any position or independent consulting not hesitate to ask Suzanne to assist with a job.  One thing is for certain, it will be done to the best of her ability. Just a good person and an excellent LNC.

Risk Free Guarantee

If you are not satisfied with our work product, notify us within 10 business days and we will revise our work product to meet your specifications. AT NO cost to you

  • 509-429-5252
  • 888-827-5519
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Vancouver, WA
Our clients are nationwide

Regardless of your specialty- whether Plaintiff or Defense, we are ready to discuss your most challenging case, or any further issues or questions.

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