Contact Relationship Management: What does your LNC business want to be when it grows up?

Posted by on Feb 27, 2016 in AALNC, Best Practices, Kari Williamson, Legal Nurse Consultant, Legal Nurse Consulting, MK Consulting, Services

By Kari Williamson, BS, RN, LNCC, CCM MKC Medical Management I recently saw a post by a fellow LNC, inquiring: “How do I best manage leads, names, clients, contacts, supportive colleagues, and others while I grow my business?” What’s a LNC to do? There are many Contact Relationship Management (CRM) platforms which boast a variety of functions—in addition to the ol’ tried and true Excel spreadsheet. Some CRMs are very expensive, while others more reasonable. Excel is on most everyone’s computer, is very versatile and can be effective. So how do you choose what would work best for you? What systems work the best? Does a more expensive tool really give you better results? Click over to the AALNC Presidents Blog to see the full blog...

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Top 5 Traits of a Great LNC

Posted by on Jan 18, 2016 in AALNC, Best Practices, Kari Williamson, Legal Nurse Consultant, Legal Nurse Consulting, LNC

By Kari Williamson, BS, RN, LNCC, CCM MKC Medical Management What a difference 18 years makes. I was a rarity way back in 1997, when I became a Legal Nurse Consultant and it was still a fairly new specialty practice. Hardly anyone knew what an LNC was, much less what to do with us. Nowadays, you can hardly swing a stethoscope without hitting one, and attorneys and claim representatives better realize the value of using a skilled LNC to evaluate a claim or review complex medical records. What makes an LNC great and how do you know? And, if you are a LNC, how do you know if you are providing maximum value to your client? Click over to the AALNC Presidents Blog to see the full blog...

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Biomechanics: A way to better understand mechanisms of injury and how the M.O.I. measures up with a claimant’s stated injury

Posted by on Mar 8, 2015 in AALNC, Best Practices, Legal Nurse Consultant, Legal Nurse Consulting, LNC, Medical Conditions/Terminology Blog Series, RN

By Danny Marshall, RN, EMT-P, CLNC What is biomechanics? It is a scientific discipline which applies principles studied in mechanics to the understanding of living organisms. So, what does this mean to the LNC? As a LNC we are challenged to determine if a claimant’s reported injury or injuries can be the result of the mechanism of injury he/she has reported. As a new LNC I have learned this is easier said than done. I am thankful for the LNC who has helped me edit the reports I have completed, she told me to study biomechanics. Studying biomechanics has helped me to better understand the relationship between the M.O.I and the claimant’s reported injuries much better. For example disk herniations are uncommon in front and side impact cars crashes that are severe enough to cause other serious spinal injuries. In laboratory testing, pure compression, torsion and flexion do not result in disk herniation. Only a combination of lateral bending, hyperflexion, and severe compression can cause a herniation. This is usually the result of heavy lifting, but rarely occurs anywhere in the spine during automobile accidents. In rear end collisions the neck is most likely to sustain injury and the thoracic and lumbar spine is less likely due to protection by the seat and restraints. Proper placement of the head rest would be an important piece of information to obtain because it can reduce the chance of whiplash injury to the neck. So a study in biomechanics and how it relates to the body when an injury occurs can be most beneficial to a LNC who is trying to see if the claimant’s reported injury or injuries are a result of the reported M.O.I. or related to another...

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Knowing Your Provider

Posted by on May 12, 2011 in AALNC, Blog, Case Management, Legal Nurse Consultant, LNC, WC, Workers Compensation

As a LNC/NCM I am often asked to help identify physicians to assist/work on a file/case OR help navigate the provider-client-payor waters. This is especially true in the Workers Compensation arena. Most recently this topic was discussed at length in a LinkedIn discussion group. Several excellent points were made. Noted in the discussion group: Does a provider have experience in your desired service? Be aware of reimbursement issues. Learn the State Rules and Regulations concerning WC. Check out the State website for details and reporting guidelines. Check out guidelines such as ODG, or MD Guidelines to verify that the client is tracking along with their recovery or rehab. ACOEM (American College of Occupational and Environmental Medicine) provides a guide to help assess outcomes. Some of the more basic ones that I utilize are: bad credit instant approval loanspayday loan online direct lender no credit check Check with other adjusters and attorneys for their experiences with the provider. Local NCM/LNC are very knowledgeable about the physicians in the area and can give solid insight as they often deal with the providers on a first hand basis. An employers will also know which doctors are easy to work with, take a certain type of case, etc. especially providers that will provide front line care such as family practice, occupational medicine, etc. If possible ALWAYS pre-screen the physicians. Learn how they report, communicate, how they interact with a NCM/attorney/insurance company, etc. Try and learn the “particulars” of the office staff. Periodically re-assess the physician and support staff. People change within a practice; physicians get busier and become unable to communicate as well; practice philosophies, and goals change. Seek feedback from the employers as to how their provider choices are or are not performing. Ongoing assessment of the physician(s) should be done. Help to educate the payor, employer, and provider on what to expect in regards to reporting, State regulations, employer RTW philosophies, etc. Does a physician embrace modify duty? We sometimes forget that the medical arena is consumer based. Knowing how your provider is performing is critical to successful...

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What Does a Legal Nurse Consultant Do?

Posted by on Sep 7, 2010 in AALNC, Blog, Legal Nurse Consultant, LNC, Services

According to the American Association of Legal Nurse Consultants (AALNC), the primary role of the legal nurse consultant is to evaluate, analyze, and render informed opinions on the delivery of health care and the resulting outcomes. This can be applied to many different legal issues ranging from cases already in litigation to cases still in the hands of an insurance adjuster. The following is a list of activities performed by LNCs. List published by AALNC. Facilitating communications and thus strategizing with the legal professional for successful resolutions between parties involved in healthcare-related litigation or other medical-legal or healthcare-legal matters. over timehttp://www.donhalbert.com/why/images/list/ Educating attorneys and/or others involved in the legal process regarding the healthcare facts and issues of a case or a claim. payday loans really bad credit Researching and integrating healthcare and nursing literature, guidelines, standards, and regulations as related to the healthcare facts and issues of a case or claim. Reviewing, summarizing, and analyzing medical records and other pertinent healthcare and legal documents and comparing and correlating them to the allegations. Assessing issues of damages and causation relative to liability with the legal process. Identifying, locating, evaluating, and conferring with expert witnesses. Interviewing witnesses and parties pertinent to the healthcare issues in collaboration with legal professionals. Drafting legal documents in medically-related cases under the supervision of an attorney. Developing collaborative case strategies with those practicing within the legal system. Providing support during discovery, depositions, trial, and other legal proceedings. Testifying at depositions, hearings, arbitrations, or trials as expert health care witnesses. Contacting and conferring with vendors to develop demonstrative evidence or to collect costs of healthcare services, supplies, or...

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