5 Tips for Serial Entrepreneurs to Ensure a Financially Secure Retirement. Serial entrepreneurs are risk takers.
They accept the challenge of running new enterprises again and again, marching forward in the hope of achieving greater rewards. One of their major concerns is to provide appropriate workers’ compensation coverage for the employees working for them. This is especially relevant for businesses that involve some kind of risk, or where there is more likelihood of the employees getting injured. Workers’ compensation provides reasonable coverage for injured or ill employees. Best Practices for Payers to Improve HEDIS Quality Measure Performance. Health plans and government payers conduct Healthcare Effectiveness Data and Information Set (HEDIS) reviews every year from January to mid-May.
It is the official 2018 HEDIS review season now, and the right time to think about best practices. Health plans require HEDIS medical record review to measure performance on important dimensions of care and service. Payers participate in HEDIS reviews to improve their Medicare Advantage plan quality measurements, known as Star Ratings. These ratings were developed by the Centers for Medicare & Medicaid Services (CMS) to rate health plan performance for Medicare Advantage programs and Medicare risk adjustment initiatives. HEDIS review measures are one component of the Star Ratings program. Medical Record Retrieval Services.
Managed Outsource Solutions (MOS) provides medical record retrieval services for insurance companies, law firms and corporate legal departments.
We can handle large volume medical record collection efficiently with a skilled and experienced chart retrieval team and state-of-the-art software system that is designed to ensure efficiency and accuracy. Let us help you retrieve the medical documentation you need for your medical malpractice, workers’ compensation, personal injury and insurance defense cases as well as class action cases. Interested in our free trial offer? Call our toll free number 1-800-670-2809. Customized, Affordable, High Quality When you entrust your records retrieval job to MOS, you can expect speedy completion of the project within your required turnaround time. The turnaround time is customizable, overnight to multiple days or weeks. More Health Plans and Health Systems Sign Joint Venture Deals. The Affordable Care Act (ACA) healthcare reforms that included the mandatory EHR implementation aims at improving patient care quality and satisfaction, improving population health, and reducing costs.
Significant Prevalence of Legal Malpractice Claims. Attorneys handling medical malpractice and personal injury cases know how tedious the medical record review process is.
To relieve the stress, many of them utilize the solutions provided by medical record review companies that take care of important processes such as medical record organization and medical record analysis and provide a clear view of the case. In most instances, attorneys manage to secure a fair compensation for their clients. However, there are instances when they face legal malpractice claims following alleged inappropriate handling of a case that result in harm/damages to their clients. According to the ABA (American Bar Association), around five to six percent of all private attorneys face legal malpractice charges each year – a rather scary statistics!
As a recent Legal Intelligencer article points out, it is rather difficult to trace the figures regarding legal malpractice claims and the reasons for this are: However, there are many legal malpractice cases. Why Outsource Medical Peer Review? Medical Record Review for Emotional Trauma Lawsuits. Both plaintiff and defense attorneys handling personal injury cases require medical record review for attorneys, a service provided by a medical record review company.
The review is provided by an expert team comprising physicians and registered nurse consultants who make available expert case analysis, case chronology and summary. These services help the attorney evaluate the strengths and weaknesses of the case in hand. Whether preparing for deposition and trial, or developing cross examination questions, this service will prove useful. Detailed medical records are necessary to prove physical as well as emotional damage following a personal injury.
While physical injuries can be established via X-rays, scans and photographs, emotional injuries and damages are difficult to prove. Why Medical Record Retrieval Is Important for the Insurance Industry. Why is medical record retrieval important for the insurance industry that is usually more focused on claims review?
An insurance policy may be associated with long-term care, disability, life or health. Whatever the nature of the policy may be, record retrieval services have a major role to play. These services support insurance claims agents by compiling a comprehensive health history of the concerned person so that the insurance company can take a proper payment decision on the basis of the medical records retrieved.
In addition, payers can save costs associated with using in-house resources for requesting, tracking and managing the records. Key Medical Records to Review in a Product Liability Case. One of the most common and routine surgeries, hip replacements have benefited people by providing pain relief and increased mobility.
Unfortunately, metal-on-metal hip models from Johnson & Johnson, Stryker and DePuy are seen to create problems. This is because metallic debris released by friction between the hips’ metal components can lead to dangerous physical reactions and hip failure. Factors that Add Value to Traumatic Brain Injury (TBI) Workers’ Compensation Claims.
Medical Record Review Need Rising With Opioid Abuse. As a medical malpractice attorney you’d know that prescription drug overdose cases are seen more and more often in the United States.
This is a personal injury case that would involve detailed and comprehensive medical record review to prove causation. Reviewing medical documentation can be quite tedious, especially when you are untrained in medical matters and terminology. In this regard, you could consider medical record review for attorneys, a reliable service provided by medical review firms. Coming back to the topic of prescription drug abuse, opioid overdose kills a number of Americans with many people in the United States taking opioids for pain. In such cases, the possibilities for misuse, addiction and accidental overdose are manifold. Opioid Abuse – a Result of the Patient Developing an Addiction Disorder Prescription drug abuse could occur if: Once an injury or death is caused by a prescription drug, the doctor is very likely to face blame. Connecticut Supreme Court Ruling Holds New Hope for Tobacco Victims. Tobacco use is a dangerous tendency that leads to the development of diseases like lung cancer, chronic obstructive pulmonary disease, periodontal disease and so on.
Tobacco is one of the leading causes of preventable death and disease across the world. It is estimated that it kills thrice the number of people who fall victims to drugs, alcohol, suicide, homicide and car crashes. Some Important Facts to Know About Social Security Disability Insurance. Social security disability insurance is a program that benefits millions of disabled Americans and their families and you qualify for this disability insurance only after a comprehensive medical record review. The applicant’s specific health condition must be among the list of impairments charted out by the SSA (Social Security Administration).
To ensure that their disability claims are successfully submitted and they have good prospects of securing benefits, many applicants rely on social security disability attorneys. Law firms and attorneys taking up such cases find medical record review services for attorneys immensely supportive because it helps them quickly decide whether a case is worth taking up. cnsnews.com reported recently that the number of people receiving SSA benefits crossed 60,000,000 for the first time at the beginning of 2016. The average monthly benefit that each beneficiary received was $1228.12 in December; $1229.85 in January, and $1230.70 in February. EMR, Malpractice Risk and Medical Record Review. Medical records are vital to a personal injury attorney representing an injured person or the defense attorney representing the physician or other care provider.
These valuable documents provide a complete picture of the nature and extent of the injuries, the amount of pain and suffering and so on, via a comprehensive medical record review. You need to obtain copies of all relevant current as well as earlier medical records if you are to represent your client adequately. This is the age of electronic medical records (EMR) with many hospitals, doctors, clinics and other healthcare providers using EMRs to provide health services. The electronic health record is expected to provide all healthcare information regarding a patient’s medical history, diagnoses, current and previous medications, allergies and immunization records, imaging records, lab results and reports and other details.
Obtaining Medical Records for Medical Record Review Purposes. The Privacy Rule and its Bearing on Medical Records Medical records, being legal documents, have to be obtained for medical record review purposes in personal injury and medical negligence litigation. In the United States, the Privacy Rule allows, with a few exceptions, individuals the right to inspect, review and receive a copy of their medical records and billing records retained by healthcare providers and health plans that are covered by the Privacy Rule. The individual concerned, or his/her personal representative are the only people who have the right to access the records. State laws may affect how this representative can be chosen. A health plan/healthcare provider can send copies of the medical records to another provider/health plan only when they are needed for treatment or payment or with the patient’s permission.
The only medical documents to which individuals don’t have access are a provider’s psychotherapy notes. EMR, Malpractice Risk and Medical Record Review. 9 Mistakes to Avoid when Preparing an Independent Medical Evaluation Report. Fee Regulation for Attorneys of SSDI Claimants. Social security disability applicants are often represented by attorneys who review the relevant medical records to evaluate the merit of the case. They provide legal counsel on whether the applicant is likely to be granted benefits. Federal law regulates the fees for all attorneys representing claimants applying for social security disability benefits. The statute states that the attorney is to receive 25% of the claimant’s retroactive benefits or a flat fee (at present it is set at $6, 000), whichever is less. A Look at Social Security’s Special Services for Beneficiaries. Social Security is one of the most efficient government programs that keeps millions of Americans out of poverty.
Beneficiaries include those who receive SSDI and SSI benefits. Disability benefits are granted on the basis of a detailed medical record review of the applicant. The applicant’s disability should fall under the list of impairments compiled by the SSA (Social Security Administration) and considered eligible for disability allowance. The SSA has always attempted to go the extra mile for its beneficiaries by offering special services. Medical Record Review Key for Workers Compensation Claims. As in other personal injury claims, medical record review is an important part of workers’ compensation litigation. The work-related injury must be well-documented in the claimant’s medical records. It is of utmost importance that every time a claimant sees a doctor, the doctor knows that he/she is treating a work-related injury.
The claimant should also keep a detailed list of all physicians seen for the injury. Medical Record Review in Product Liability Cases. Many Americans depend on medical devices with the hope to improve the quality of their life, and many others use prescription drugs to address various health conditions. Medical device and pharmaceutical manufacturers constantly introduce new products with the best interests of users in mind.
However, sometimes these products prove to be defective and cause injury when they should have been beneficial. Why It Is Important to Utilize HIPP-compliant Medical Record Review Services. Social Security Disability Benefits for Musculoskeletal Disorders. Detailed Medical Charting Helps Avoid Malpractice. Falsification of Medical Records – Creates Grave Consequences for the Patient and Provider. Social Security Administration Requested to Overhaul Its Representative Payee Approach. Developing Medical Case Chronology and Reviewing Medical Records in Product Liability Litigation. Medical record review is the first important step in product liability litigation.
Product liability claims are those that involve defective medical products such as defective hip implants, breast implants, medications, and birth control devices that have caused injuries to patients.