Medical Chart Review/Record Summaries -Benefits for Attorneys
A medical record summary created based on a detailed chart review provides attorneys with vital information about a case.
Medical record summaries are important for attorneys to resolve personal injury, product liability, medical malpractice/negligence cases, and insurance claims. These summaries are prepared based on a detailed chart review. In a summary, clinical data is presented in chronological or reverse chronological order. Experienced medical review companies provide the services of skilled reviewers who are well-versed in the vocabulary of medical
www.mosmedicalrecordreview.com
918-221-7791
legal technology and understand the nuances of civil litigation to prepare flawless summaries. Medical records summary helps attorneys to •
access key points of the case easily without having to refer to each and every medical document while preparing the case
•
understand the nature of the injury, the patient’s past medical history and its impact on the injury, and other vital information
•
evaluate the claim or case correctly, and
•
identify areas they can capitalize on
A major challenge in medical chart review and summary preparation is that paralegals often come with little training in medical terminology. They may be forced to identify treatment procedures and other relevant aspects and report key details such as preexisting conditions and treatment gaps, which is time-consuming and carries the risk of errors creeping into the summary. It is also important for the paralegal to be familiar with common medical abbreviations used in a summary. Using medical review services can help paralegals overcome such challenges and submit timely medical record summary reports for attorney review. Medical record summaries prepared by professional legal nurse consultants are helpful for attorneys because it helps them understand more of the medicine and how the medicine affects the legal issues involved in the case. Expert consultants will make sure that •
Each set of medical records reviewed is identified.
•
Professional formatting is used with proper page numbers, headers, footers etc.
•
All medical abbreviations are expanded the first time they are used.
•
A clear summary is written so that even a person with limited knowledge of medical terminology and conditions understands it clearly.
•
Relevant medical information obtained from sources such as journals helpful to the case is included.
www.mosmedicalrecordreview.com
918-221-7791
Some of the important elements of a medical records summary in an insurance defense case are - date of injury or DOI, causation of the injury or illness as reported by the patient, diagnosis or diagnoses, treatment providers and dates of treatment, treatment plan (s), future medical needs, if any and information about prior as well as unrelated medical treatment, if any. An ideal medical records summary process generally involves •
Medical records sorting and organization
•
Chronological medical summary preparation
•
Option is provided to add post-its or highlighted notes
•
Accurate capture of dates, procedures, treatments and other details
•
Deleting duplicate medical records
•
Preparing medical case summary
•
Adding hyperlinks for speedy navigation to the source records
The medical record summary will help the attorney understand the various aspects of the case and find the information she/he is looking for quickly.
www.mosmedicalrecordreview.com
918-221-7791