Medical Summarization / Clinical Notes
Medical Summarization ( Medical and Medico-Legal)
CORE OBJECTIVE Solutions is leader in providing Medical Summarization services to many Healthcare organizations, Independent/Qualified Medical Evaluators (IME / QMEs), Hospitals, Physician Offices, Physiotherapy clinics, Law Firms in USA and UK. For last 13 years, we are successfully providing Medical and Medico-Legal Summarization services to our clients.
Medical record summarization has proved to be a boon to the healthcare industry. This is a process where tedious medical record data is analyzed, categorized based on the data and service providers and then a review is presented which is medico-legally authenticated. This a simplified medical data from complicated medical record pages, which enables litigation services, claim services and other healthcare services to process their services at a much faster rate.
Using technology, the healthcare professionals, pharmacists, and doctors review, rearrange and interpret the data, making it easier to access and provide a date-wise detailed view of the patient’s treatment.
A well-prepared medical record summary service saves time by organizing medical records in a concise chronological manner facilitating easy assimilation.
Medical Summarization Services
Medical record organization and summarization services are indispensable services for those who are associated with insurance claim settlements and /or litigations related to Workmen compensations arising out of injuries/diseases and ailments or all such conditions claimed to be due to job-related activities.
In some cases, Providers are accused of Medical malpractice with medical negligence or deviation from the set standards of medical care while delivering medical services to the patients.
Appropriate RETRIEVAL, Thoughtful ORGANIZATION and Accurate SUMMARIZATION of medical record are the key factors for these services.
Medical Records Summarization is just not precise writing compression exercise. Professional Medical Summarizers take into account the end use of medical record summarization as specified by the clients, as it may pertain to be used for Plaintiffs or Defendants or for use of IME or QMEs or as may be for the purpose of Amicus Jury. In tune with the end use of the summary of medical record as specified above, essential pointers are highlighted as may be found in the original medical records provided by the clients in the reflective manner for the purpose of an anticipated pro-deposition or pro-argument manner, by the end user.
Summarization is done by duly trained resources who understand the legal aspects, significance, and end use of summary reports by the clients. This facet helps the client get the medical summaries in an argument /deposition pro manner. All such medical facts are seen from records to ensure success of the clients.
Medical Summarization Process
Flag relevant symptoms and treatment
Create footnotes with definitions of uncommon medical terms
Create timelines and charts to highlight treatment from relevant period(s) of care
Identify missing records and bills
What Do We Do ?
- Digitize and scan paper records / images and collate all of them into a comprehensive dossier for each case. This is done on-site by the client or through a partner company.
- Upon receiving the dossiers through our proprietary workflow management system, our experts analyze and categorize every piece of information and assign relevant attributes for them to integrate into a comprehensive report.
- Generate the final summary output from the analyzed data and make it available for review by the end user in a customized and user-friendly format.
This process has proved its advantages:
- Better patient care.
- Fast analysis of the huge medical data.
- Time saved during accessing the medical information.
- Less paperwork and better archival options.
- Increased quality of the source data due to multiple reviews.
- Less man-hours and cost effective
Types Of Summaries We Deliver
Comprehensive Summary
- Provides the most in-depth view of the plaint’s medical records
- Perfect way to extract a lot of information for review
- Details especially useful in medical malpractice
- Toxic tort
- Personal injury cases
- Deep analysis of the medical records required
Narrative Medical Summary
- Provides a concise description of the information contained in the medical records, allowing to quickly taking in the most relevant information.
- A brief synopsis of the most pertinent information.
Annotated Index Summary
- Provides an overview of the medical records with a few words describing what they pertain to, as well as the dates of service.
- Perfect option for those who are short on time or merely want their records sorted and indexed for easy reference and accessibility.
Medical Chronology & Timelines
- Sorting and indexing of medical records (if needed)
- Outlining medical history relevant to claimant’s injury
- Overview of claimant’s past medical records and current medical status
- Glossary of case-specific medical terminology and acronyms
We Proudly Serve
- Law Firms, Medico-Legal Firms who recruit and /or retain Qualified Medical Evaluators and provide litigation support to plaintiffs or defendants.
- Hospitals, Physician Practices
- Independent/Qualified Medical Evaluators (IME / QMEs).
- Independent Medico-Legal Attorneys.
- Case or Chart Review Firms
- Healthcare Consulting Organizations
- Health Maintenance Organizations / Preferred Provider Organization
- Workmen Compensation Claim Administrators / TPAs / Insurance companies, especially the private disability insurance carriers.
- Medical documentation management companies.
- Insurance Companies
- Self-Insured/Administered
- Social Security Disability Firms
- Special Investigation Units
- State & Local Government
- Third Party Administrators
Customized Solutions in Medical Summarization
Medical Record Summary
This is a prime service provided which includes sorting and rearrangement of the medical records chronologically, assimilation of the patient’s information in the given records and systematic presentation of that information, which is easy to review.
Medical Record Reorganization
This is a customized service provided, which includes analysis, rearrangement of media records in ascending or descending chronology.
Medical Record Bookmark, Analytical Graphs and Hyperlinking
This service facilitates easy navigation through the records and helps to find a particular record for a specific date or from a particular location. The hyperlinking is provided to the source document and the summary page. Graphical analysis is presented for the type of visits, location and visit analysis and location and billing analysis.
Medical Billing Summary
This is a special services given for handling medical bills and expenses. In this service we provide sorting and reorganization of medical records, summary based on the date and billing items. We also provide graphical analysis of billing amounts from different providers and expenses pattern during the given time frame
Medical Keyword Searching
This service provides a special feature by which it is very easy to search a specific required term/disease from the given bunch of records. It is specifically mentioned in the summary and the source page and summary have hyperlinking for more reference.
Location Separation
This service separates the medical records from a given bunch based on the location of the records. This gives an overview of visits and treatment provided in a particular location.
Provider Merging Service
When there are multiple locations where the patient was treatment during a particular time, this service facilitates reviews to be arranged in date chronology for all the locations together.
Provider Identification
This facility provides a list of additional locations/providers noted during the summary, their address to help in gathering more information or missing records from given location
Benefits for Medical Summarization Process to Clients
- Easy data access.
- Easy navigation through records
- Eco-friendly approach involving less paperwork.
- Hassel-free data storage.
- Better patient care with instant query resolution.
- Expiated litigation process and fast claim settlement.
- Increase in productivity.
- More focus can be given for business development.
- Customization and various summary options makes the summary compatible with given work approach of respective firms.
Data Security at CORE OBJECTIVE:
We are a 100% HIPAA compliant company. We follow HIPAA compliance by adhering to all the physical, technical and administrative safeguards.
We provide assurance of PHI privacy and security while processing extensive medical health data. We understand the importance of integrity and security of the PHI.
We have physical safeguard in place with
- Work station data security with blocked USB Drives, Printers, DVD/ CD Writers, Network Drives etc.
- Facility access control achieved by secured work premises with round the clock CCTV surveillance.
- Inventory logs for hardware and media.
For technical safeguard, we have:
- Access and audit control.
- Transmission security control for safe data transit.
- Entity authentication policies.
We achieve administrative safeguard via:
- HIPAA overview training for employees.
- Workforce clearance procedures.
- Data contingency plan in place including data backup policies and disaster management plans.
- Security management process, Information security management system training in place, timely security risk analysis, sanction policy and firewall in place as network safeguard.
- Information access management tools in place.
- Strict NDA/ NC with staff members
