Review cases to determine merit before a lawsuit begins
Review cases that are already filed, for either plaintiff or defense, to provide useful chronologies of the records and concise reports on the medical and nursing issues
Describe and/or summarize injuries and treatment
Identify and review relevant medical records, hospital policies and procedures and other essential documents
Provide reports on research (literature search) to support the medical and nursing issues involved that may include:
specific standards of care
appropriate peer-reviewed journal articles
authoritative text references
Review medical records or other medical information for issues that have an impact on a legal matter
Organize and analyze medical records and determine missing medical records
Prepare reports, chronologies, time lines, medical fact reports, summaries, overviews regarding medical records and issues
Identify standards of care that relate to the case, identify causation and damages
Collaborate in developing strategies for medically related issues
Aid in preparing demonstrative evidence and exhibits for deposition and trial
Review medical files and provide informed support in workman's compensation or personal injury
Provide support in medical depositions, including preparing questions
Investigate issues and prepare reports regarding potential fraud related to health care providers
Review medical bills to determine over-billing, mistaken billing, misrepresentation, etc.
Investigate potential misconduct by health care personnel, requested by the licensing boards for healthcare professionals
Investigate fraud and abuse of Medicare, Medicaid and other government funded agencies
Assess potential risk management problem areas in acute care hospitals, clinics, surgery centers etc. and provide education and support
Assume the role of expert witness to medical and nursing facts which are limited to areas of personal and professional expertise
The role of the legal nurse consultant is to evaluate, and render
informed
nursing
opinions on the delivery of healthcare issues and resulting outcomes.