Jess Wilder
Mar 17, 2023
Medical record review involves evaluating a patient’s healthcare information for medical or legal purposes.
Medical record review involves evaluating a patient’s healthcare information for medical or legal purposes. It is the process where a reviewer reviews medical charts to ensure they are complete or accurate, or to collect important medical facts from those records.
Who Needs It the Most?
Lawyers, Insurers, and Healthcare Entities: These stakeholders require medical record review services the most. Insurance companies, for instance, need to assess medical necessity for healthcare services, determine pre-existing conditions, and evaluate claims. Lawyers dealing with personal injury, medical malpractice, or workers’ compensation cases rely on medical record reviews to understand the medical aspects of their cases.
Different Medical Record Review Services
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Medical Records Organization: Ensuring that medical records are well-organized and easily accessible.
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Case Chronology Support: Creating a chronological summary of events from medical records.
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Plaintiff Fact Sheet Preparation: Compiling essential information about the plaintiff.
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Deposition Summaries: Summarizing key points from depositions.
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Case History and Summary: Providing a concise overview of the case.
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Chart and Bill Review: Verifying billing accuracy.
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Trial Preparation: Assisting attorneys in preparing for trial.
Challenges of In-House Chart Review
When done in-house, medico-legal entities may face challenges such as dealing with handwritten notes, illegible handwriting, and ensuring clear, accurate, chronological, consistent, and complete details about patient care.
Remember, accurate and thorough medical record review is crucial for both patient care and legal proceedings. If you’re looking for reliable medical record review services, consider outsourcing to experts who specialize in this field.