Chris Sharon · Texas

I get these tools running in your practice.

Six clinical and revenue product lines, represented through the Seven Streams network. Finding the right one is the easy part. I handle the account setup, the onboarding paperwork, the staff training on day one, and I stay on the account after it is live. Below is what each line does and the kind of practice it fits.

What I represent

EK · 01

EnduraKT

Non-opioid local anesthetic for post-surgical pain. Ventis Pharma.

Fit criteria and first step →
NS · 02

NS100

In-office nerve stimulator for painful diabetic neuropathy. NeuroDynamics Global.

Fit criteria and first step →
QC · 03

Q-Code Recovery

Recovers wrongfully denied Medicare Advantage Q-code claims. 100% contingency.

Fit criteria and first step →
JA · 04

Jorie AI

Revenue cycle automation for eligibility, prior authorization, and collections.

Fits groups where prior auth is a staffing problem
IP · 05

InjuryPro

Funding against personal-injury lien receivables.

Fits practices waiting on settlement to get paid
WK · 06

WoundKit

Collagen wound care supplies, shipped direct to patient.

Bill under your DMEPOS number, or through Total Surgical
A retail supplement line for patients is under review. What is planned →

EnduraKT

Manufactured & distributed by Ventis Pharma
Tetracaine 0.2% · Lidocaine 0.4% · Epinephrine 1:250,000 — preservative-free, compounded, Rx only

EnduraKT reconstitutes from two components, a pre-loaded epinephrine syringe and a tetracaine/lidocaine vial, into a longer-acting local anesthetic for incisional infiltration, peripheral nerve blocks, and fascial plane blocks. The dilute concentration keeps toxicity low enough to allow higher-volume dosing across larger blocks, up to a maximum of 1.5 mL/kg ideal body weight.

This is an off-label use of two anesthetics with long safety records: tetracaine since the 1930s, lidocaine since its 1948 approval, combined with epinephrine at a level chosen for its effect on sensory blockade duration rather than vasoconstriction alone. Not recommended for topical use or spinal anesthesia.

"Medications can only be ordered by healthcare providers when it is determined the product is clinically significant over other commercially available products."

Source: Ventis Pharma EnduraKT Info Sheet (endurakit.com). See full reference list and prescribing information before ordering. Compounded, office use only, not for resale.

1.5 mL/kg
Maximum recommended dose, by ideal body weight
2 components
Epinephrine syringe plus tetracaine/lidocaine vial, combined at time of use
Rx only
Ordered under a qualified practitioner. Not for topical or spinal use
Who it fits
Outpatient surgical practices where post-operative pain control is part of the plan: plastics, general surgery, orthopedics, podiatry. Most relevant if an anesthesia provider on your team is already doing infiltration or plane blocks.
What to ask
Bring these to the specialist call: dosing for your typical case weight, which of your procedures it suits, per-account pricing, and how it fits the block or infiltration routine you run now.
First step
A call with a Ventis clinical specialist. I arrange it and stay on the line. Pricing is set per account by Ventis, so you get real numbers from them rather than a range from me.

NS100

Powered by NeuroDynamics Global · Distributed by 7Streams
FDA-cleared, Class II · Programmable peripheral nerve stimulator · On-label: painful diabetic neuropathy

NS100 is placed in a single in-office visit: four titanium arrays, 45 to 60 minutes, minimally invasive. It is worn for twenty days of programmed stimulation, then removed in office. Non-pharmacologic, with no titration, tolerance, or dependency to manage, and it doubles as a trial for patients being evaluated for permanent neurostimulation.

Your team supplies chart notes, diagnosis codes, and a Letter of Medical Necessity. NeuroDynamics Global runs predetermination, prior authorization, and billing, and remittances post directly to the facility.

Pain outcomes: Staats et al., Frontiers in Neuroscience, 2025. A retrospective, non-controlled observational study of 83 patients with severe painful diabetic neuropathy (baseline NRS 7 or greater). Individual results vary. Some states require implantation by an MD or DO only. Not for use in patients who are pregnant, hemophiliac, cognitively impaired, or who have implanted cardiac or stimulator devices. Prior auth required by non-traditional Medicare payers.

87%
Mean reduction in reported pain score at 90 days (n=83)
20 days
Worn, then removed in office. One visit in, one visit out
No adverse events
Reported through 90-day follow-up in the same series
Who it fits
Practices treating painful diabetic neuropathy: endocrinology, primary care, pain management, neurology, rheumatology, vascular surgery. Placed by an MD, DO, NP, or PA in a clinic, ASC, or hospital.
Where to start
Look at your E11.42 patients on traditional Medicare who have already been through gabapentin, pregabalin, duloxetine, or injections and still report a 5 or higher. Traditional Medicare needs no prior authorization, so those patients are the shortest path to a first case.
First step
Twenty minutes covers candidacy, coverage, and fit. No commitment.

Q-Code Recovery

7Streams program
Lost revenue recovery for Medicare Advantage Q-code denials · 100% contingency

7Streams reviews aged Q-code denials at no cost and identifies which ones qualify, including claims already worked and denied by an internal team or a third-party biller. Their methodology builds cases around payer non-compliance with CMS guidelines, then manages the full appeals process while your team stays hands-free. No system access is required, and the process is HIPAA-compliant throughout.

It is 100% contingency. If nothing is recovered there is no fee, and any recovery includes interest owed by the payer.

Figures below reflect 7Streams' published program results to date, from a proprietary methodology developed and validated in 2025. They describe past program performance, not a guarantee of recovery amount, likelihood, or timing for any individual practice. Every claim is assessed on its own facts.

100%
Recovery rate on qualifying claims, to date
$8M+
Recovered across the program's first six months
Since 2022
Oldest recovered claims date back to
Who it fits
Any practice billing Medicare Advantage that is sitting on aged Q-code denials. Claims your own team or an outside biller already worked and gave up on still qualify.
Qualifying check
A claim needs both of these to be reviewable:
  • Pre-authorization was required
  • IVR with pre-approval, including the date range of covered services
First step
Send your aged Q-code denials for a no-cost assessment. Recoveries in this program have reached back as far as 2022, so old denials are worth pulling. No recovery, no fee.

What I handle once you say yes

Before

Fit and clearance

I check your specialty, patient population, and payer mix against what the manufacturer actually supports, and confirm the territory is open before anything is proposed.

Setup

Account and paperwork

Account registration, onboarding documents, and the clinical call with the manufacturer's specialist. I set it up and stay on the line rather than handing you a phone number.

Launch

Training your staff

On-site training for the people who will actually use it, whether that is your CRNA, your medical assistants, or your billing team, scheduled around your clinic day.

After

Staying on the account

Reorders, coverage and documentation questions, and new staff who need training later. You keep my mobile number, not a support queue.

For whoever runs the office

If the doctor forwarded you this link and asked what you think, these are the questions you were about to ask me. The honest answer to most of them is that the work lands on me, not on your staff.

Who fills out the account application?

We do it together on one call, screen to screen. I do not send you a registration link and disappear. For EnduraKT there are two selections early in the form that determine which fields open later, and getting those wrong means starting over, so it is worth the twenty minutes.

How much of my staff's time does this take?

One training session, on site, scheduled around your clinic day rather than through the middle of it. I come to you. Nobody is doing a webinar at 7am on their own time.

Does this create work for our biller?

Less than you would expect, and it varies by line. On NS100, NeuroDynamics Global runs predetermination, prior authorization, and billing, and remittances post directly to the facility. On Q-Code Recovery, 7Streams manages the entire appeals process and needs no access to your system. Your team supplies chart notes and diagnosis codes; the rest sits with the partner.

What happens when we hire someone new in six months?

I come back and train them. That is part of holding the account, not a separate visit you have to justify to anyone.

Is there anything we need to be enrolled in first?

No. None of these lines requires an enrollment before you start. For WoundKit, a practice with its own DMEPOS number bills direct with Total Surgical billing support; a practice that is not credentialed can bill through Total Surgical’s billing entity while it gets credentialed. If you are not sure where your practice stands, that is a reasonable thing to ask me to find out.

Who do I call when something goes wrong?

Me, on my mobile. Not a support queue and not a portal ticket. If the answer has to come from the manufacturer, I am the one who chases it and comes back to you.

Tell me what you are running into.

Email me your specialty and what you are seeing, whether that is the patients, the denials, or the paperwork. I will tell you which of these fits and what deploying it would take in your practice. When none of them fit, I will say so.