Just The Facts Ma’am: The Joe Friday Approach to Reviewing Medical Records

Posted by on Feb 27, 2012 in Blog, Legal Nurse Consultant, Litigation Tools

Ladies and Gentleman, the stories you are about to hear are true, only the names have been changed to protect the innocent…  These memorable lines opened each episode of the 1950s era police series, Dragnet.  The popular crime drama chronicled the daily routine of a Los Angeles detective, Joe Friday, and his partner.  Series writer Jack Webb emphasized realism, and was a self-proclaimed stickler for details—often to the point of tedium. In the truest documentary fashion, Dragnet tracked every aspect of Sergeant Friday’s police work, step by step: from patrols and paperwork, to crime scene investigation and lab work — he questioned witnesses, suspects, and victims. The dialogue was clipped and sparse, influenced by what is known as the Hardboiled School of crime fiction.  Webb’s deadpan detective character, with notepad in hand, is now a stock character of American television and film.  Friday’s catch phrase “Just the facts Ma’am” is not only legend, it’s the sort of terse line to which more recent crime show writers of CSI, or Law & Order aspire. Examining the Medical Evidence – A Paper Trail to Truth  In many ways, the exacting attention to detail, keen observations, and objective record keeping that made for Detective Friday’s solid police work also characterizes the work of a conscientious reviewer of medical records. Often, the legal teams and insurance adjustors will ask a trusted medical provider to review the medical records of a fellow provider. They are requesting a peer review by a practicing clinician, one that reviews the original injury, treatment protocol, recorded documentation and overall treatment strategies. While all health care professionals should keep meticulous records, primary care providers must keep records beyond reproach. As the patient’s source of medical care, the significance of precise record keeping simply cannot be overestimated. Knowing the Consultant’s Professional History An experienced, well-connected Legal Nurse Consultant (LNC) will already have trusted medical providers in his or her network of medical experts. The LNC will have an established practice, and know the professionals on their list well. She has worked with them previously, and can attest to their record reviewing qualifications and history. Again, the true facts. check cash pacific Just the Facts Ma’am – Words to Win By During the medical records review, the medical provider alerts the LNC of any discrepancies or indiscretions detected in the records. The physician, chiropractor, or other licensed care provider will arm his partner with hard, objective facts that she can then use to construct a full chronological illustration of the case — from the very beginning to the present time. That chronology can reveal any missing critical steps, any unnecessary treatments or therapies in the case. Questionable record keeping and practices,...

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Best Practice – Physician Peer Review, LNC Report, or Both?

Posted by on Feb 8, 2012 in Blog, Claims Tools, Litigation Tools, Workers Compensation

It may seem redundant, or not cost effective; to utilize both a Physician Peer Review and an LNC Report. However, they both have a unique perspective. And when you combine the two, the result affords you a more complete timeline of both the events that have happened, and what may still occur with the patient. The Physician Peer Review  i have bad credit and i need a loanconsiders all casestraditional loaning process A major standard in the industry, a Physician Peer Review, or medical review, of the case can give you a pinpointed, detailed reporting of what has happened to date. It provides intricate details about specific pieces associated with the medical event and how those pieces fit directly together. More myopic in construction, the medical review yields very precise answers and insight to a medical event and subsequent treatment strategies. Simply put, consider it a very accurate snapshot in time of the patient and the event. The LNC Report  Also a major standard in the industry, the LNC takes the medical review and expands it. It provides information about peripheral factors relevant to the case as well. It considers long-term patient care and interaction, the insurance role in the completion of the case, and a review of all record keeping involved. This broader approach can easily yield inconsistencies that may otherwise go undetected. It can also yield administrative concerns that can directly affect other cases. Using a Whole Person Approach The patient involved may have a single event or episode in your facility. But the effects and ramifications of that single event can weigh heavily on the future treatment of all patients. By utilizing both reports you garner a more complete picture of the patient’s impact on the health care profession and the associated support industries. Without using both reports, you could very well end up making future patient decisions with one eye closed. Crossexamine: Do you utilize LNC reports and Physician Peer Reviews as litigation tools?  Image credit: shutterstock dot...

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