Review ER Records from Multiple Angles Reviewing emergency room documentation can be challenging.  Gathering and assimilating the appropriate information from ER reports represents a crucial step in evaluating a case, relatedness and specific injury issues. Learn your basic ER documentation and how it all fits together! Follow these tips. loans for bad credit instant decisiononline cash loan lenders A patient’s medical history can disclose pertinent details regarding his current/prior condition. Review medical authorization forms personally signed by the patient.  These can offer critical insight into the case and provide access to the patient’s past medical records without violating HIPAA regulations. Review ER records against other physician’s notes, prior surgeries/tests and EMS records, to determine whether the complaint relates to past symptoms or issues. You can learn a great deal about a patient’s medical state based on the physician’s notes.   Also be aware that new findings/complaints can develop after ER discharge and all the more reason why a close review of the initial ER record is important and follow up on the records is important. Do ordered tests match completed tests?What was specifically ordered?  Was the physician trying to rule something out or confirm a clinical finding or suspicion?  Did the physician NOT order testing, despite the injured party’s request for it? Did the injured party complete the ordered diagnostic tests? Sometimes confirmatory testing will have to be done with in a specific time parameter, so follow the order trail and request test/lab results. Review discharge instructions and note how/if/when the injured party complied. Compliance issue can greatly impact the file/case. Also remember that patient does need to take responsibility when following doctor orders....