by MKC Medical | Jul 28, 2020 | Uncategorized
While the records in this case lined up with the complaints, the claim was deemed excessive because of the claimant’s age and her pre-existing history. First, here’s what happened. The claimant – an 81-year-old female – was injured...
by MKC Medical | Jul 21, 2020 | Uncategorized
The nurse reviewer in this case spotted several inconsistencies in this tractor-trailer related personal injury. Upon analysis, these raised red flags about the soundness of the claim. The matter involved a 55-year-old male who was the restrained driver of a tractor...
by MKC Medical | Jul 7, 2020 | Uncategorized
In this personal injury case, omitted pre-Date of Loss records specifically imaging reports caused the nurse reviewer to wonder if the claimant’s injuries were the same as before the accident or had progressed. The same is true of omitted post-DOL...
by MKC Medical | Jun 30, 2020 | Uncategorized
A colleague recently shared an article that caught my attention…and triggered several take-aways. Medical Malpractice Claims: Pivotal Role of Root Cause Analysis was published by the Joint Commission, a U.S.-based nonprofit that accredits more than 22,000...
by MKC Medical | Jun 16, 2020 | Uncategorized
The claimant in this case was a 21 year old involved in a Motor Vehicle Accident. According to the medical records, the claimant suffered minor Date of Loss injuries followed by reports of several versions of the Mechanism of Injury and of evolving stated injuries,...
by MKC Medical | Jun 9, 2020 | Uncategorized
This motor vehicle accident case illustrates the importance of complete medical and occupational records. It also shows how a thorough and detailed review and analysis was of value to the client. The event and injury The claimant was the restrained front seat...
Recent Comments