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    Company Mission

    To serve as a liaison between our clients and the world of healthcare. We strive to provide an unbiased, comprehensive review of medical documentation to assist clients in determining the appropriateness of medical billing and services rendered. We apply our nursing education and clinical expertise to provide professional opinions on
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    We have reviewed claims from medical organizations all across the United States. Whether you need assistance with determining billing appropriateness or appealing denials of billed services, we can help.

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    We are experienced in reviewing medical records from various types of providers. Whether documentation is paper, electronic, or a hybrid format, we can save you time by extracting only the information that is pertinent to the case.

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    Prevent your paper from evolving into a liability. Make your shredding appointment today.

Professional Biography


Connect with Dena on LinkedIn

Dena Knippen is the president of Critical Elements LLC. She brings over nineteen years of professional experience in the medical field to the company. She started her medical career at the age of sixteen as a state-certified nursing assistant in long-term care. She worked at a large insurance company reviewing workman’s compensation cases and claim submissions while taking classes to become a registered nurse. Dena worked as a nursing assistant in an acute care hospital setting throughout her nursing clinical rotation. Upon completion of her Associate’s Degree in Nursing from James A. Rhodes State College, she worked on the Critical Care/Cardiac Telemetry block of a 400-bed acute care hospital. Dena furthered her nursing experience by working as an auditor reviewing hospital cases and claim denials for risk and compliance. She graduated with honors in 2011 from Wright State University’s Bachelor’s of Science in Nursing program. In 2012, she completed Ohio State University’s Legal Nurse Consultant program. She has expanded her knowledge by becoming a Certified Professional Coder through the American Academy of Professional Coders. Dena is licensed to practice nursing in both Ohio and Indiana.

Associate Member of the AALNC; Member of the Cleveland/Northeast Ohio Chapter

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Member of the American Academy of Professional Coders

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