Medical Record Evaluation for Paralegals Training Class

Course ID: 16733

Medical Record Evaluation for Paralegals Training Seminar

Are you tired of struggling to find the information you need in medical records?

Missing documents, unrecognizable terminology and abbreviations, conflicting information in the sequence of events - is this your idea of a nightmare???or the reality of your last experience working with medical records? Obtaining, maintaining, analyzing and summarizing medical records can be daunting, but we can help make it easier. Join us at this informative seminar to get the knowledge you need to effectively use medical information to support your client's case theory.

Comprehensively and precisely evaluating medical records is crucial to the success or failure of a case. Do you know how to glean key medical information from the records?
Can you determine if your records are complete? Discover how to create a systematic method for handling and tracking medical records and requests.
Are you able to decipher medical charts? Get familiar with healthcare-specific abbreviations and terminology that may be the key to understanding your case.
Know what you're looking at by identifying relevant chart components.
Is someone really trying to derail your case? Understand how the confusion surrounding HIPAA and other privacy acts has made healthcare providers more cautious about sharing information.
What red flags do you need to watch for when examining medical records? Identify discrepancies or indications of tampering within the records.
Do you know who is and isn't authorized to document on a chart? Recognize whose notations are valid for your case.
Detailed summaries can pinpoint relevant information and clarify the sequence of events. What is the most effective way to present this information to all parties who need it?
Do you know what the other side is looking for? Be prepared by understanding what parts of the records may support the opposition.
Learn powerful techniques for presentation of medical records at trial.


	Agenda
	GETTING THE MEDICAL RECORDS YOU NEED Tracey E. Curtis, 9:00 - 10:00 Which Records Are Considered Medical Records Key Sources of Medical Records Determining Which Medical Records You Need Obtaining a Complete Set of Medical Records HIPAA Implications on Obtaining Medical Records CHART COMPONENTS Nikki Charlton, 10:15 - 11:30 Who Documents on the Chart? Face Sheet Admitting Note Emergency Room Records History and Physical Progress Notes Medical Orders Medication Administration Records Nursing Care Plans Consults Lab/Radiology/EKG Flow Sheets Ambulance Reports DOCUMENTATION STYLES Michele J. Nielsen, 11:30 - 12:15 How Physicians Use the SOAP Methodology Terminology and Accepted Abbreviations HOW TO EVALUATE A CHART Debra A. Gray, 1:15 - 2:30 What is the Question? Compiling and Evaluating Information Based on the Question What is Important to You as a Legal Professional? Red Flags Tips for Chart Evaluation ORGANIZATION AND MANAGEMENT OF RECORDS FOR USE AT TRIAL MaryAnn Ivie, 2:30 - 3:30 Putting Together a User-Friendly Chronology or Summary Dealing with Problematic Medical Notes Using Technology to Manage a Large Volume of Information Filing Systems POWERFUL PRESENTATION OF RECORDS AT TRIAL MaryAnn Ivie, 3:45 - 4:30


	Audience
	This basic-to-intermediate level seminar will help paralegals, legal assistants and other legal staff to better evaluate key information derived from medical records that will be used to support the client's case theory.