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

Amanda Alcodia, patient advocate
The insider

Fifteen years in healthcare operations — bedside to boardroom. Independent: paid by you, never by a hospital or insurer.

Fifteen years across
Hospitals Skilled nursing Post-acute & rehab Home health Hospice

How it works

Three steps — fast when it has to be.

No lock-in and no monthly commitment — you pay only for the time your situation needs. If someone's being admitted or discharged and the clock is ticking, we get on the phone the same day.

STEP 01

Reach out — same day if urgent

Book the free 15-minute call, or if it's time-sensitive — an admission or discharge in motion — say so and we talk today. You tell me what's happening; I tell you honestly whether I can help and roughly how many hours it 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

Get answers you can act on

We get to work right away and you leave with the receipts: the exact sentences to say, who's responsible, and every deadline — in writing, the same day.

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
1–3 hrs
Complex transitions (multiple facilities/services)
4–6 hrs
New diagnosis navigation
3–5 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 — free, and no email required. Read them here, or print them for the hospital bag.

The free library

Five printable guides · four in-depth articles

Everything I know about bills, denials, discharge, Medicare and hospice — written down, with a receipt for every claim.

Open the library →
A patient advocate's desk — medical paperwork, a laptop, notebook and 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.

Fifteen years in healthcare operations, admissions, and discharge planning — across hospitals, skilled nursing, and home health

Invited speaker on healthcare operations at leading hospitals, universities, and industry summits

Former healthcare board director, now fully independent — accountable only to you

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.

Email me directly

Two sentences is plenty — what happened, and what would help most right now. I read every message myself and reply within one business day, including an honest word on whether you even need me.

Email amanda@resonanceinsights.de

Prefer to talk? Book the free 15-minute intro call →

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