Achieving optimal performance in the Healthcare Effectiveness Data and Information Set (HEDIS) quality measures is pivotal for payers aiming to provide high-quality care and promote better health outcomes. Healthcare plans need HEDIS medical record reviews to gauge...
Medical Record Review
Medical Record Review for Physical and Mental Health Evaluation
In recent news, attorneys for Aaron Hernandez asked the court to subpoena his medical records from the New England Patriots, the NFL team the 24-year-old once played for. The defense's stand is that...
Wakeup Call to Lawyers – Are You HIPAA-compliant as Business Associates of Covered Entities?
More than four out of ten US customer data breaches occur in the healthcare sector, according to a report by the ITRC (Identity Theft Resource Center) in 2013. The health sector has to report...
When Caregivers Turn Criminals
It is indeed a frightening thought - erring doctors and an increasing number of medical accidents! The police in a UK county are looking into the deaths of at least three patients under the care of...
Medical Record Review to Ensure Medicare Eligibility
Workers' Compensation cases can be really challenging to handle. When it comes to determining eligibility for Medicare, attorneys and insurance companies have to depend on thorough medical record...
Employer Alert – What You Must Know About ADA and Fitness for Duty Exam
It is quite uncanny how something you believe to be perfectly legal can have the effect of a boomerang. The question is whether a fitness for duty exam for an employee can rebound on your face as a...
Defective Medical Records – a Real Concern
A major concern at present is whether the electronic medical record systems available now can provide accurate healthcare data. There are class action suits involving EHR manufacturers, which is...
Medical Record Review – Aspects that Have an Impact
Medical records may comprise both electronic and paper documentation, and these contain accurate information regarding the patient, the diagnosis, treatment and results. When reviewing these for...
Use of Medical Records in Personal Injury Claims
Lawyers handling personal injury lawsuits will have to scrutinize a number of medical records from the various healthcare providers who may have treated the injured person. These records are...
Identifying Medical Record Components – a Crucial Process in Medical Record Review
Identifying the components in the medical record is an important part of the medical record review process. The major components professional medical reviewers look for in a patient’s medical record...
What to Look for in Medical Records
You have a pile of medical records pertaining to a particular case and you need to extract the required relevant information to set about preparing the case. When undertaking medical record review,...