Medical records are surprisingly vulnerable to tampering. In medical cases, discovering fraudulent records alters the very nature of a case. It’s imperative that legal professionals are equipped to identify fraudulent medical charts.
This post wraps up an ongoing series on managing and organizing medical records; here we provide a review of some of the topics discussed in the series, plus our Top 10 Hints for Medical Record Management.
Attorneys are often overwhelmed by the volume of material they receive when a medical provider forwards electronic medical records. Even though electronic record systems are intended to produce less paper, they actually contain more documents than a typical paper chart.
Physicians’ office records have predictable sections. Within your legal practice, it’s best to develop a consistent order for medical records so that all who access the records know where to find necessary data. Color-coded tabs can be a helpful addition, as these records tend to be extensive.
This blog post focuses on effective organization of paper medical records. In future posts, I will also address organization of both electronic and scanned copies of medical records, as well as how physician offices and clinics typically organize records.
Organizing medical records is time-consuming and can direct an attorney’s focus away from other aspects of his/her law practice, so many delegate the task to a legal assistant or Legal Nurse Consultant (LNC). Others want to organize their own records; they prefer a hands-on approach and feel they understand the case better when they personally review each document.
The amount of time required to organize medical records depends on whether the records are typed or handwritten, clear, provided in sections (or completely scrambled), how the are supplied, and the program used to create them.
The start of any case involving medical issues usually begins with gathering the relevant records. It’s always important to keep in mind there are pieces in the medical record that are not going to be turned over without separate requests. This particularly applies to films for x-ray and photographs. Many films are digital files now and are easier to share.
Medical litigation is complex.The medical records “tell the story” of a person’s journey through the healthcare process. A thorough review and analysis of medical records is imperative in any case investigation. One word or phrase can entirely change the complexion of a case. A seemingly insignificant entry can break a case. Small but highly significant details can be overlooked with potentially disastrous results during discovery and at trial.
The full name might be unpronounceable, but CRE is too scary to ignore. When we think of the term "superhero," we often envision a character that possesses superhuman strength, extraordinary talents, and the overwhelming dedication to protecting the public from harm. However, now we shift gears to think about the emergence of the Superbug. While this new breed of microorganisms possesses similar qualities to superheroes, they are, in fact, the arch nemesis.