Top 3 Medical Record Review Documents Used in Workers' Compensation Cases

Workers’ compensation is a form of insurance providing cash and/or medical benefits to workers who have been injured or became ill as a direct result of their job. Workers’ compensation defense attorneys work with employers and their insurance companies to help settle cases and offer litigation counsel for informed decision-making. 

Third-party medical record review companies partner with workers’ compensation attorneys, insurance companies, and employers to provide expert clinical review of medical records to synthesize the alleged injuries and/or incidents involved with workers’ compensation claim(s). 

Medical record review documents provide critical details regarding these types of cases. The top 3 medical record review documents used to defend workers’ compensation cases are medical chronologies, medical case summaries, and medical billing analyses. 

3 Medical Record Review Documents Used for Workers' Compensation Cases

1. Medical Chronology

Medical chronologies provide a timeline of events related to the alleged injury and/or incident. The document focuses on explicit facts, is appropriate for any case size, and can be started at any time throughout discovery. 

Details often include:

  • Circumstances of the alleged incident such as when it occurred, how it happened, who was present, discussions regarding the incident, etc.
  • Diagnoses
  • Treatment received
  • Discrepancies

2. Medical Case Summary

Medical case summaries provide a high-level, objective summary of the information provided in the medical records. This document is succinct, can provide quick insight into case strategy, and provides greater visibility at the outset of a case. 

Risk factors are identified including any history of similar injuries or other conditions that might contribute to the symptoms the claimant/plaintiff has alleged.  A status can be provided that includes whether the alleged injury has been resolved or if treatment is still needed.

3. Medical Billing Analysis

Medical billing statements can be analyzed to help determine the overall potential charges related to the alleged workers’ compensation incident. This document can provide great detail, can help ensure compliance and control legal spending. 

Records reviewed often include:

  • Primary care 
  • Specialties related to the alleged incident
  • Hospitals/Facilities 
  • Employment records

How Can LMI Assist with Medical Analysis in Workers Compensation Cases

Experience increased productivity through a streamlined medical analysis process with a customized approach focused on flexibility and scalability. LMI’s medical team has extensive clinical experience focused on providing the highest quality work products to leverage your workers’ compensation cases. Take advantage of decreased overhead and lower expenses to focus on your case strategy. With nearly 40 years of experience, LMI is your trusted litigation support partner. 

Contact us today for a free consultation.

Infographic: Top 3 Medical Record Review Documents Used in Workers'