
Dr. Katherine Nori Janosz, MD
Medical Director
A Virtual Functional Medicine Practice
Root Cause connects you with licensed clinicians who issue a Letter of Medical Necessity, making personalized functional medicine HSA/FSA eligible for qualified patients.
How review worksWho We Work With
We work with technology and administrative partners, including Truemed, so that qualified medical expenses can be reimbursed through HSA and FSA accounts.
Our Clinicians
Every letter of medical necessity is read and signed by a licensed clinician. Real names, real faces, real accountability.

Dr. Katherine Nori Janosz, MD
Medical Director

Michaela Robbins, DNP, APRN
Medical Advisor

Zhanna Leib
Certified Physician Assistant

Shannon Chatham, DO
Family medicine (DO)

Kristina Frederick, PA
Certified Physician Assistant

Brittni Kalyuzhny, FNP-BC
FNP-BC · Functional medicine

Kerri Bryan, PA-C, CAQ-Psychiatry
Physician Assistant · Psychiatry
Why Root Cause
Root Cause is a root cause medicine practice built on the idea that medicine is not one size fits all. Clinicians thoroughly assess health information including medical history and relevant clinical context to provide individualized recommendations for interventions.
Condition-based
Health assessment starts from a diagnosed condition and its medical context.
Risk to a diagnosed condition
Addresses a documented risk a clinician ties to a diagnosed condition, including increased risk for developing a related medical condition
More than a transaction
The assessment considers why an intervention may be clinically relevant.
Conditions We Review
Our Practice
Root Cause is an independent functional medicine practice. Our clinicians understand how patients can use clinically appropriate functional interventions to treat their diagnosed conditions at the root cause.
Every review and decision rests with a licensed clinician, based on your health assessment.
Recommendations are tied to a diagnosed condition and supported by published clinical evidence.
Rooted in functional medicine, we work to understand what drives a condition and address the risk factors a clinician identifies.
What is an LMN?
RCM clinicians are trained to provide letters of medical necessity when indicated. A Letter of Medical Necessity is documentation from a licensed clinician that a product or service is medically recommended to cure, treat, mitigate, or prevent a diagnosed condition, which can make it eligible for HSA/FSA use.
How It Works
Clinical Review with Clear Safeguards
A licensed clinician reviews what you submit and may issue an LMN when appropriate.
LMN reviews are based on documented health context, diagnosed conditions, and clinical judgment.
Truemed's eligibility framework has been independently validated by the Validation Institute.
Root Cause handles personal health information under applicable state privacy laws; Truemed is SOC 2 compliant.