15 years inside U.S. healthcare

I worked inside the system. Now I work for you.

Hospitals, skilled nursing, hospice, home health, medical records, compliance — I spent fifteen years on the other side of the desk. I know which questions get answers, which documents count, and which rules they hope you never read.

When it's your diagnosis, your parent, your bill — you shouldn't have to learn it alone. I've got you.

Free 15-minute intro · then $150/hour, billed to the minute

Your portrait — warm, editorial, not clinical
The insider

Board Director, Oxford Health Services Academy (2018–2023). Speaker at Cedars-Sinai, USC, HASC & HFMA.

Fifteen years across
Hospital operations Skilled nursing Hospice & home health Medical records Compliance

How it works

Three steps. No retainer, no surprises.

You approve the estimate before I start, you see the time log with every invoice, and every engagement ends with a written plan you can act on the same day.

STEP 01

Free intro call

Fifteen minutes. You tell me what's happening; I tell you honestly whether I can help — and roughly how many hours your situation usually takes.

STEP 02

Approve the estimate

You get a written scope with a not-to-exceed cap. Nothing starts, and nothing is billed, until you've signed off on it.

STEP 03

Work the plan

We meet, we decide, and you leave with the receipts: the exact sentences to say, who is responsible, and every deadline — in writing.

Services & rate

One transparent rate, tracked to the minute.

Like hiring an attorney — except my job is translating the healthcare system, not the law. You see the clock, you cap the budget, and every hour ends up in a written summary.

$150 / HOUR · LAUNCH RATE

Billed to the minute — you never pay for a rounded-up hour.

Not-to-exceed estimate approved by you before anything starts.

Itemized time log with every invoice, and a written summary after every session.

Stop any time. No retainer, no subscription, no minimum block.

FOR CONTEXT: independent advocates typically charge $100–$500/hr; experienced advocates in major cities run $300–$500. This is fifteen years of insider experience at a launch rate.

What things typically take

Honest ranges from the intro call — your written estimate makes them exact.

Hospital bill & EOB review
2–3 hrs
Insurance denial & appeal strategy
3–5 hrs
Discharge & transition planning
4–6 hrs
New diagnosis navigation
8–12 hrs · spread over weeks
Ongoing family support
as needed · monthly summary
I prepare you and advocate alongside you — this is education and navigation, not a substitute for medical or legal advice.

Why people trust this

Every answer comes with a receipt.

I don't ask you to take my word for anything. Every claim I make in a session is backed by the actual rule, law, or document — so when you speak up, you're impossible to dismiss.

And unlike the advocate the hospital assigns you, I don't work for the hospital, the insurer, or anyone but you.

"You're not being difficult. You're being prepared."

"Don't argue. Document."

"Please send that to me in writing."

The receipt The rule

They can't discharge you just because insurance stopped paying.

You have the right to a fast appeal of a discharge you think is too soon — and to stay while it's reviewed.

§ Medicare Expedited Appeal (QIO) · 1-800-MEDICARE

Free, before anything else

Not ready to talk? Take the checklists.

The same tools I use with clients. No call required — they should help whether we ever work together or not.

PDF

Discharge-meeting question sheet

The questions to ask before anyone leaves the hospital — and the answers to get in writing.

PDF

Hospital bill review checklist

How to read your bill and EOB side by side, and the most common errors to circle in red.

PDF

Caregiver fridge card

One page for the fridge: who to call, what to document, and the sentence that gets action.

No spam — the guides, plus one useful email a month. Unsubscribe anytime.

A working photo — desk, paperwork, coffee

"I don't have a degree in healthcare administration — I have a PhD in experience."

About

Fifteen years of knowing where the levers are.

I'm Amanda. I spent fifteen years in U.S. healthcare operations — hospitals, skilled nursing, hospice, home health, detox, medical records, and compliance, up to facilitating deals at the C-suite level. I sat in the meetings where the decisions about patients get made.

I saw how much easier everything gets the moment someone in the room knows the rules — and how rarely that someone is on the patient's side. So I switched sides.

You may also know my work from Rerouted Health, where I teach the same insider knowledge to everyone, free.

Board Director, Oxford Health Services Academy, 2018–2023

Speaker — Cedars-Sinai, USC, CSULB, HASC, HFMA Utah Summit

Founder of two patient-education brands for the U.S. and Europe

Coming soon — the book: Confessions of a Healthcare Insider: I Make Money Off Sick People — and Here's How to Stop Them From Making It Off You.

Before you ask

Fair questions, straight answers.

The advocate the hospital gives you works for the hospital — their job is to resolve your complaint within their employer's interests. I'm independent: I work only for you, like an attorney does. Fifteen years inside operations means I know how those internal conversations actually go, because I used to be in them.
Transparency. Every situation is different, so a flat package either overcharges the simple cases or shortchanges the hard ones. You get an estimate up front, a not-to-exceed cap you approve, and a time log with every invoice — billed to the minute, never rounded up.
Fifteen minutes, no charge, no obligation. You describe the situation, I tell you honestly whether I can help, roughly how many hours it usually takes, and what that would cost — or I point you to a free guide if that's genuinely all you need.
No — and that's the point. I'm a healthcare operations insider. I don't give medical or legal advice; I give you the system knowledge, documents, and exact language that make hospitals and insurers respond. When you do need a lawyer or a specialist, I help you find the right one.
My deep expertise is the U.S. system — insurance, Medicare, hospital billing, post-acute care. I'm based in Europe, so evening calls for U.S. time zones are easy.
Never without your explicit consent. Stories only ever appear anonymized, with permission, as teaching examples.

Start here

Tell me what's happening.

Write two sentences about your situation and I'll reply within one business day with an honest read — including whether you even need me. Prefer to talk? The intro call is free.

Book the free intro call

15 minutes · video call · evenings available for U.S. time zones

In a medical emergency
Call 911 (U.S.) or 112 (EU). This practice is not an emergency service.

Your message is confidential and never shared. No newsletter sign-up hidden in here.