Built From the Inside Out
Every session ends.
Your admin work doesn't.
Most of what follows a session
shouldn't require a clinician at all.

Built From the Inside Out
Every session ends.
Your admin work doesn't.
Most of what follows a session
shouldn't require a clinician at all.


Become a Shadow Caseload Survivor
See a client. Write the note. Chase the authorization. Return the intake call. Verify the insurance. Follow up on the denial. Reschedule the no-show. Update the file. Bill the session. Start over.
Independent clinicians are running a full administrative operation between every patient they see. Session documentation, prior authorizations, intake processing, insurance verification, scheduling gaps, referral follow-up. It does not stop.
We make those operations invisible. Your only contact with them is reviews and signoffs.
Founder: Luke McNeur
Before Neurvana, Luke spent 15 years leading technology delivery for enterprise clients at Manhattan digital agencies, and 7 years managing high-volume healthcare operations and federal privacy compliance at the Veterans Health Administration. That experience is not a credential on a wall. It is a working knowledge of exactly where administrative friction enters a clinical practice and why it compounds over time.
Neurvana exists because that friction is solvable. The machine handles the data processing. The clinician keeps the final judgment.


How We Work: Fusion Architecture
We manage the digital blueprint for independent specialists in Speech, Occupational, Physical, and Behavioral Therapy. We do not replace clinicians. We remove the non-billable drain that follows them home.
- Administrative Auto-Pilot: We handle the high-frequency, low-necessity tasks in scheduling, prior authorizations, and patient intake so your clinical hours stay clinical.
- Clinical Guardrails: Every system is HIPAA-compliant by design. Data integrity and federal compliance are built into the architecture, not added later.
- Capacity Amplification: Our goal is to return 20% of your billable day by eliminating manual documentation entry and intake friction.
The Four Constraints
Every Neurvana system is built within four operational boundaries to protect your practice independence.
- Algorithmic Transparency: No black boxes. Every automated action is traceable and defensible.
- Prediction Integrity: Our systems act on high-confidence data. They do not guess.
- Clinical Ownership: The system organizes. You decide. Final action stays with you.
- Compliance by Design: HIPAA and federal privacy protocols are hard-coded into every workflow.


Credentials
We operate in regulated clinical environments. These certifications reflect that standard.
Federal Privacy and Compliance
- VA Privacy and HIPAA Certification (Veterans Health Administration): Specialized training in patient data protection for the nation's largest integrated health system.
- Regulatory Audit Management: Direct experience managing federal oversight and clinical compliance reviews.
Technical Architecture
- Advanced Automation (Make and n8n): Multi-step agentic workflow design for clinical operations.
- AI Strategy and Product Leadership: Certified expertise in deploying prediction-based systems within complex operational frameworks.
Clinical Operations
- Workflow Coordination (Veterans Health Administration): Interdisciplinary team management and operational optimization at scale.
- Electronic Health Record Mastery (CPRS): Direct experience with the documentation friction points embedded in clinical record systems.
