Basic of Medical Record Review

A detailed analysis of the medical records of a patient, including details of physician and nursing notes, diagnostic tests (inclusive of the lab tests, ECG, imaging tests and more), correspondence between health professionals, ambulance call reports, reports from monitoring equipment, are included in the medical record review.

They are required for both medical and legal purposes. Quality monitoring is necessary to satisfy the various components of a healthcare plan’s rating. More so, it is important to retrieve and validate the medical claims from the healthcare plans.

Medical record review is used for the preparation of litigation. The attorneys, paralegals, legal nurse consultants, and expert medical witnesses use this review to understand the nature of the case and medical history and fight similarly.

medical record review

Comprehensive reviews of the medical records are typically required in disability cases, fraud investigations, workers’ compensation claims, personal injury lawsuits, and medical malpractice cases. Based on the clinical findings, decisions made and actions agreed to (by whom), instructions and information given to patients, nature and period of the prescribed drugs (or treatment or investigation), patient’s progress, monitoring, and follow-up meetings should all be included in review to understand the case.

With the relatively recent healthcare models, there is a widespread transition from paper to electronic health records. expensive to copy, transport and store, difficult to analyze and easy to destroy are some of the main reasons to get electronic medical reviews. It also allows faster and easier navigation through the entire medical history of a patient. Moreover, they are accessible to multiple healthcare workers at multiple locations at the same time. Last but not the least, it helps to enhance the privacy and security of patients’ data. In order to make evidence based decisions, the health records and discrete structured data is most definitely welcome.

If you are looking for a trusted name that has the skilled agents who can review the medical and legal records to understand the case better, get in touch with the team of Smart Legal Solutions LLC. Visit http://smartlegal.solutions or dial 833.825.6408 to know more about their body of work and how they can help you streamline your job.

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