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It’s called, “Reasonable Assurance"

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30 to 50 pages an hour is pretty slow imo I read about 200 an hour
After a few years you know which records matter. For example, if you’re dealing with ortho/neuro injuries and it’s a lengthy hospital admission you can usually skim through orders and focus on progress notes.
PT, Chiro, and Acupuncture records are also generally useless outside of identifying gaps in treatments.
Hard to give an average but it’s usually 200 per hour although I certainly need to massage my billing to account for other, necessary tasks that are deemed “non billable”.
As for the cuts- you need to make sure you’re not billing more hours than they allow for in a certain day. Some will only allow 8 or 10 hours per day and that is across all your matters for the carrier
It takes however long it takes. Some records are faster to review and summarize than others. If you have a good partner on the case, you might suggest they contact the carrier, explain the situation, and get approval for the time in advance.
I ballpark 100 pages and hour and check after 5 hours of work to see where we are at, it’s never accurate though.
Try a nurse paralegal is cheaper and does understand medical documents. I have been reading nurses notes, doctor notes and surgical notes for 22 years of being a wound care nurse. I have done medical research as well as legal and I will not charge you like a doctor
I would say 100 pages per hour at the lowest