For many law firms, having in-house staff handle medical reviews is just how it’s always been done. Maybe it started years ago with a few nurses or paralegals reviewing files between other tasks, and over time, it became the default.

But here’s the truth: just because it’s familiar doesn’t mean it’s efficient—or cost-effective.

The Problem: Why Traditional In-House Reviews May Be Costing You

In-house reviews can seem like a logical extension of internal case work. Your team knows your firm, your clients, and your systems. But when caseloads scale into the hundred or even thousands, internal resources get stretched thin. And that’s where the real problems begin.

Here’s what relying on internal staff really costs you:

• Time delays: Reviewing hundreds or thousands of medical records is time-consuming. Even trained internal nurses or paralegals can get bogged down, creating bottlenecks in your litigation timeline.
• Overhead strain: Salaried staff working overtime or being pulled off their primary responsibilities racks up hidden costs—both financial and operational.
• Burnout and turnover: Constant multitasking and role-juggling lead to burnout, low morale, and eventually, costly staff turnover.
• Inconsistencies and missed opportunities: Without a dedicated review system and specialized training, even experienced staff can miss enhancers, overlook deficiencies, or introduce errors that affect settlement potential.

The Alternative: A Nurse-Led, Outsourced Solution

At Aperio Solutions, we offer a smarter way to scale. Our HIPAA-certified, U.S.-licensed Registered Nurses specialize in mass tort case reviews. With over 63,000 medical reviews and 29,000 settlement analyses completed, we know how to handle volume—and do it right.

Here’s how we support your firm:

And with 40-50% savings compared to other review vendors, we deliver not just efficiency, but value.

The Results: Stronger Team, Stronger Cases

Outsourcing doesn’t mean losing control—it means gaining capacity. When Aperio handles your medical reviews:

• Your in-house team can focus on strategy, not paperwork.
• Your cases move more quickly through the pipeline.
• Your clients receive a better experience, and your firm is positioned to deliver better outcomes.
• Your firm is positioned to grow exponentially with expert back end support

By billing these services to the case, law firms can reduce their overhead while still delivering high-quality, comprehensive support to plaintiffs.

The Bottom Line

Tradition is comforting—but it shouldn’t come at the expense of growth. If your internal team is shouldering the medical review burden simply because “that’s how we’ve always done it,” it may be time to rethink your process.

Let’s streamline your caseload, reduce burnout, and improve your bottom line. Schedule a consultation today.