……where Healthcare and Litigation Come Together
ASK A LEGAL NURSE
……where Healthcare and Litigation Come Together
ConsultationMEDICAL REVIEW
Case Analysis
- •Medical necessity
- •Correlate case strengths / weaknesses with potential mitigating factors
- •Document tampering / fraud
- •Expert in electronic medical records management
- •Identify missing/ additional records to determine causation/ damages
- •Development of timelines of events
- •Provide chronologies of care
- •Identify potential defendants
- •Evaluate according to standards of care with specific allegations per discipline
- •Present pathophysiology coaching related to injury and damages
- •Detect documentation discrepancy between departments, providers and timeline
Discovery / trial PREPARATION
Litigation Support
- •Identify missing/ additional documents to request from opposing counsel
- •Develop/ respond to interrogatories
- •Analyze reliant material supplied by opposing counsel's expert(s)
- •Attend/ assist with healthcare provider depositions
- •Develop deposition questions
- •Identify additional discovery- i.e., audit trails, communication logs
- •Develop demonstrative evidence related to discovery requests
Trial Preparation
- •Assist in case strategy/ trial theme development
- •Develop demonstrative evidence regarding pathophysiology, document discrepancies, timelines
- •Provide pain graphics, medication charts, what was done vs. what could've/ should've been done
- •Project management for focus groups/ mock trials
BILL REVIEW
Additional Information
- •Identify usual, customary and reasonable ranges per geographic area
- •Distinguish appropriateness of coding/ billing submitted
- •Evaluate relatedness to the claim/ file
- •Assess for missing/ additional billing required
- •Provide anticipated savings in personal / bodily injury cases
- •Discover fraudulent billing
- •Determine between unbundling, upcoding, lack of medical necessity in billing
