About Us
Our company is a premier healthcare consulting firm specializing in the development of Comprehensive Clinical Letters of Medical Necessity (CCLMNs) and strategic medical necessity documentation designed to support patient access to medically appropriate therapies. We partner with physicians, specialty pharmacies, infusion providers, ambulatory infusion centers, hospitals, pharmaceutical manufacturers, and healthcare organizations to create evidence-based clinical documentation that clearly articulates the medical rationale supporting complex treatment decisions.
Unlike traditional letters of medical necessity, our Comprehensive Clinical Letters of Medical Necessity are built upon an in-depth clinical review of the patient's diagnosis, disease progression, previous therapies, clinical guidelines, peer-reviewed literature, payer policy considerations and individualized medical circumstances. Every letter is carefully developed to present a clear, compelling and clinically sound case that accurately reflects the treating provider's medical judgment and supports payer review.
Our expertise spans numerous specialty disease states, including neurology, immunology, rheumatology, gastroenterology, dermatology, transplant medicine, infectious disease, rare disease, and specialty infusion therapies. In addition to comprehensive medical necessity documentation, we can provide clinical appeals support, provider education and therapeutic access solutions that help healthcare organizations navigate today's increasingly complex reimbursement landscape.
The company is led by Stacy Lynn Shillan, an accomplished healthcare executive with decades of leadership experience across specialty pharmacy, home infusion, ambulatory infusion, therapeutic education, commercialization, payer strategy, and executive healthcare consulting. Stacy has collaborated with physicians, health systems, specialty pharmacies, pharmaceutical manufacturers, and managed care organizations throughout her career, bringing a unique understanding of both clinical practice and reimbursement strategy. Stacy is also the internationally recognized author of STRICKEN, a memoir that chronicles one family's extraordinary journey through profound medical adversity, unwavering faith, resilience, and hope. Her experience as both a healthcare executive and author has reinforced her commitment to patient advocacy, compassionate care, and ensuring that every patient has the opportunity to receive medically appropriate treatment through accurate, evidence-based clinical documentation.
Our Mission
Our mission is simple: to transform complex clinical information into compelling, evidence-based medical necessity documentation that supports appropriate patient access while maintaining the highest standards of clinical integrity, professionalism, and excellence.
Our Commitment
We believe every patient deserves access to medically appropriate care. Through clinical excellence, evidence-based documentation, and strategic expertise, we help providers effectively communicate the medical necessity of complex therapies while supporting informed coverage decisions and improving access to treatment.
Comprehensive Clinical Letters of Medical Necessity
Where Clinical Excellence Meets Medical Necessity
Clinical Appeals Documentation
Strengthening Appeals Through Clinical Evidence and Excellence
Proven Results
Proven outcomes that speak for themselves and make a meaningful difference for you and your patients