Learn how to efficiently review medical records, uncover key details, and streamline your legal case or claims process.
There are many areas of law that require robust production and review of medical records. Whether you are prosecuting or defending a medical malpractice or premises liability case or need to review records in connection with workers’ compensation, disability, or other benefit programs, this presentation will help you become more efficient at reviewing all types of medical records. What constitutes a patient’s ‘medical record’ is broader than simply printing out a patient’s progress/chart notes. Knowing what to include in your records request and what to look for during your review can lead to discovery of valuable information which may relate to issues in your case. This presentation will explain the types of medical records you may encounter during your review, and how to effectively review this information. The course will also address some of the challenges associated with obtaining a complete record and identify the tools you can utilize to ensure your records are complete. You will see examples of how careful review and efficiency will allow you to prioritize the often-voluminous records into something usable for your case or claim. This course is critical for anyone who has ever felt overwhelmed by the prospect of reviewing medical records and anyone who wants to implement more efficient review techniques into their legal practice.Learning Objectives
- You will be able to define what constitutes a medical record.
- You will be able to describe the many components of a medical record.
- You will be able to identify additional records that may be available from information included in the set you are reviewing.
- You will be able to review several types of medical records and prioritize your review to include pertinent information you need for your case.
Agenda
Components of a Medical Record- Terminology
- Requesting Records
- Determining What Constitutes a Record
- Ensuring the Medical Record Is Complete; Billing
- Understanding Why the Same Records Have Different Formats
- Hospitalizations
- Primary Care/Office
- Communications/Messages
- Other (Labs, Radiology, Referrals, Pharmacy, etc.)
- Patient Demographics, Family History, Personal Information, Consent Forms
- Diagnosis, Treatment Plans, Referrals
- Imaging, Pharmacy, Labs, Other Third Party Information
- Purpose and Use of Audit Log/Audit Trail
- Chronologies and Time Stamps
- Understanding Versions
- Paper Records and Other Non-Electronic Forms
- Imaging Discs and Other Media
- Discovery Software Considerations
Speaker(s)
Corinne C. Miller, Esq.Childs McCune Attorneys
- Attorney, Member of Childs McCune Attorneys
- Over 10 years of experience as a trial and litigation attorney, focusing the last five years of practice in defense of medical and dental professionals in malpractice cases and professional licensing board matters in the State of Colorado
- Presented at the Colorado Bar Association Annual Health Law Symposium on state law and alternative resolution updates; Speaker for a national audience on the Colorado Rules of Evidence seminar, covering intersections with federal rules and the admissibility of medical records at trial.
- Member of Colorado Bar Association, Denver Bar Association, CBA: Health Law Section, and The Docket (DBA)
- J.D. Degree, Michigan State University College of Law; B.A.Degree in sociology & political science, University of Portland
