How are Medical Record Summaries Useful for Attorneys?

Medical record summaries are the summarized version of the significant details from the medical record in chronological order to support the claim of the victim. It contains information on the who, why, what, when, and where of the personal injury claim. These medical summaries for law firms are prepared especially for personal injury lawyers who fall short in time to go through a medical record and are not well-versed in all medical terminology.

A medical record is the detailed documentation of a victim’s health issues throughout their lifetime, with all the medications they have taken and the diagnoses undertaken by them. It is usually written by healthcare providers. This is wholesome data written down on hundreds of pages. Medical records summarization is important for attorneys to know the aspects of their case and to represent their clients effectively.

Any common man would find it boring and difficult to understand. Also, I don’t have to mention the patience to read a booklet of a thousand pages filled with medical terminology. To read and understand a medical record requires a lot of experience and professionalism in the healthcare sector, whereas Lawyers are professionals expertized in the nuances of the law.

Although years of experience in personal injury claims can assist attorneys in gaining some knowledge of medical terminology, the truth is it is impossible to have a thorough understanding unless you are a medical professional. This is when the need for a summary of medical records arises, and the medical record summary service providers.

Get to know how efficient the medical record summarization drafted by LezDo TechMed is by availing a free trial. These summary services come under medical record review for attorneys.

Elements of Medical Record Summaries

• Date of injury

• The cause for the injury, as claimed by the victim

• Diagnosis

• The details of the treatment providers and the date of the treatments

• The treatment plan includes reports of diagnoses, medications, and referrals

• Prognosis

• The details of permanent disability, if any

• The future medical needs of the patient

• Information on prior medical treatments

In medical summaries, the terminologies are written in full form at the first instance, and the definition of medical terminologies is attached for reference.

Factors to Consider before Preparing a Medical Record Summary

• Chief complaint

• Medical history, diagnoses, and treatment plan

• Progress notes, nurses’ notes, consultations, and diagnoses study

• Discharge summary

• Prescribed medications

• Healthcare providers’ recommendations on follow up

Types of Medical Summaries for Law Firms

• Comprehensive chronologies

• Narrative summary

• Chronological summary- Timelines and charts highlighting the treatments undergone from the relevant time period

The Process of Summarizing a Medical Record

How to summarize medical records? Summarizing a medical record is a process that involves a series of actions put together. Let’s have a look at the steps involved in medical record summary and chronology preparation.

• File Receipt: The original medical records are received from the healthcare providers. These records are transferred in a secure way, making sure there is no loss of data.

• Analysis and Categorization: Every piece of data in the medical record is analyzed thoroughly to take down points of the insights gathered. Also, the data in the medical records are categorized based on History, complaint, observations, diagnoses, treatment, prescription, etc.

• Sorting and Organizing: The medical record is now sorted based on the time frame of the incidents. This helps to organize the medical record by date.

• Indexing: An index is created for the data in the medical record in chronological order by date in a forward or reverse manner.

• Hyperlinking: Hyperlinks are attached in the summary so that, on a click, it navigates to the respective page in the medical record.

• Summarized Records: The records are now summarized and generated in PDF or any other user-friendly format for easy understanding of the jury. Medical records summarizer audits the summary to ensure clarity and accuracy of the information.

Uses of Medical Record Summaries for Attorneys

Medical summaries for law firms can assist attorneys in multiple ways.

The medical record summary reports are considered to be the case overview. It has the complete medical history of the patient in chronological order. It helps the jury understand the extent of the injury. It also allows the attorney to estimate a claim amount for the case. Medical records summarization is important for attorneys to know the aspects of their case and to represent their clients effectively.

The medical records summaries give the attorney a lot of insights into the injury that occurred to the plaintiff. The attorney jots down points from the medical summary report in order to negotiate with the at-fault party. The Attorney negotiates with the at-fault person to settle the claim amount without getting to the jury by using this summary.

The attorney uses the medical record summary as his shield against any false claims made by the at-fault party regarding any existing injuries. The medical record summaries will showcase every injury and treatment the claimant had. Therefore, no false accusations can be made.

A tool to prepare the plaintiff to testify at the hearing. The plaintiff is given instructions about his injuries and what are the terms that will aid him in claiming more money. This helps the plaintiff to act confidently and explain all his problems, their severeness, and the future impact on them to the jury.

A healthcare provider cannot be handed over the whole medical record and ask for an expert opinion. The medical record will sum up to a thousand pages. Going through all the pages and giving an opinion is a tiring job anyone would refuse to do. Instead, if a healthcare provider is provided with a medical summary of just two to three pages, he/she can have a proper look at it and provide insights to the attorney on minute nuances an attorney would not consider significant.

The medical report summary must capture the key information related to the case. A number of mitigation factors can be revealed in a closer study of the medical record summary.

Medical summarization companies provide fact-oriented medical summaries for handling legal claims effectively and efficiently. Medical record summarizers, knowing the specific needs of attorneys and law firms, create case-specific summaries that satisfy the needs of the claims.

With the integration of Artificial Intelligence into medical record review for law firms, many firms provide more accurate and professional AI medical records summary for lawyers.

To wrap up,

In this blog, we have been discussing what a medical record is, how it is summarized, the factors considered to summarize medical records, types of medical record summaries, the process of summarizing medical records, and the uses of medical records.

In all these topics, we have focused on the information enlisted in a medical summary and how impactful those data are for a personal injury claim, and how it supports the attorney in getting the plaintiff the deserved claim amount. So, hope now you have a clear understanding of why an attorney needs medical summary services in a personal injury claim.

LezDo TechMed is one of the best medical records summary companies you can opt for if you are hunting for efficient medical records summary services. Download our sample medical records summary and know how efficiently these narrative summary services for law firms assist in building claims.