Case study: An MVA claim mitigated by gaps in treatment along with gaps in records
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
2y ago
This plaintiff was a 51-year-old female, restrained driver, alleging unspecified injuries and demanding policy limits following an MVA.  She was traveling in a parking lot when she was hit on the passenger side by a semi-truck moving at <10 mph. There was no airbag deployment.  She was ambulatory at the scene. Mechanism of Injury (MOI) While the claimant’s report of the MOI was consistent, she told the chiropractor that she hit her chest and knees.  Note that there were no reported knee or chest injuries, and this was the only time she raised these conditions.  No police ..read more
Visit website
Case study: Mitigating a million-dollar trucking claim
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
2y ago
This MVA-related claim illustrates the importance of ensuring that all prior records are obtained as well as the importance of factoring multilevel degenerative pathology into the analysis. In this case, a 60-year-old male, restrained driver of a semi-tractor trailer struck the right back of another tractor trailer that ran a stop sign in front of him as the claimant was turning left. The claimant did not seek medical care until the next day and was diagnosed with a cervical hyperextension injury. He later switched providers — with no reported motive — and began seeing an orthopedic, neurologi ..read more
Visit website
Case study: Staying on the right side of a premises liability claim
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
2y ago
Here’s another case where Mechanism of Injury (MOI) and a prior, degenerative condition figure into mitigating a high-exposure claim. The claimant was a 48-year-old female injured in a retail store.  Based on the limited incident report, she was struck after grabbing a metal framing stud, when the bundles fell and struck her on the head, back, shoulders, arms, and neck.  The claimant was not transported by EMS, and no first aid was rendered in the store. ER records were not submitted to determine injuries at the time of the loss.  After a two and a half month gap in treatment, t ..read more
Visit website
A popular how-to podcast for Legal Nurse Consultants
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
2y ago
I recently got some welcome news from Pat Iyer, a leader in Legal Nurse Consulting and the publisher for the last four years of Legal Nurse Podcasts, one of many resources devoted to our industry.  Pat wrote to inform me that the interview she conducted with me — and published August 12, 2019 – has become one of her most popular Legal Nurse Podcasts! Entitled Defending Claims: The View of an Experienced LNC, Kari Williamson, my interview covered several key topics, including… What are the skills you see as being critical to an LNC? What are myths people have about legal nurse consulting ..read more
Visit website
When inconsistencies in medical records raise red flags in an injury claim
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
3y ago
In a case involving falling drywall, a sleeping woman and multiple alleged injuries, changes in a claimant’s story, unexplained delays and other inconsistencies and gaps in several data points raised red flags for MKC’s nurse reviewer. The event and injury The claimant ­­ a woman ­­ reported that a ceiling fell on her while she was asleep, late January 2019. She stated the drywall ceiling struck her left shoulder and the left side of her face.  As a result of the incident, she reported multiple subjective complaints to her neck, left shoulder, left elbow and face. Mechanism of Injury (MOI ..read more
Visit website
Managing Musculoskeletal Claims during COVID
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
3y ago
I attended a webinar recently where the focus was managing musculoskeletal (MSK) claims for successful outcomes.  Not surprisingly, telemedicine was a big component. This is an emerging issue about which I’ve already blogged.  I was interviewed in 2020 for a cover article on telemedicine published in the July/August issue of Claims magazine, a top-tier publication for lawyers, claims executives and others in the healthcare space.   In it, I note that telemedicine can enhance treatment outcomes, saying that …injured parties in remote locations could benefit from some level o ..read more
Visit website
When inconsistencies in medical records raise red flags in an injury claim
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
3y ago
In a case involving falling drywall, a sleeping woman and multiple alleged injuries, changes in a claimant’s story, unexplained delays and other inconsistencies and gaps in several data points raised red flags for MKC’s nurse reviewer. The event and injury The claimant ­­ a woman ­­ reported that a ceiling fell on her while she was asleep, late March 2018. She stated the drywall ceiling struck her left shoulder and the left side of her face.  As a result of the incident, she reported multiple subjective complaints to her neck, left shoulder, left elbow and face. Mechanism of Injury (MOI ..read more
Visit website
Exposing fraud and bad claims takes a medical sleuth
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
3y ago
Unearthing fraud, mistakes and other claims errors takes more than an expert detective…even one as skilled as Charles Piper.  That’s because no matter how experienced or well-trained, a non-healthcare professional alone is not enough to defend against a bad claim. Healthcare fraud is a big problem, costing tens of billions of  dollars a year and impacting all of us.  That’s compounded by the thousands of bad claims that result from mistaken diagnoses, misinterpretation of medical records or other deliberate and accidental oversights. Back in 2013, a private investigator and con ..read more
Visit website
Pride in my profession
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
3y ago
If I ever were to recommend a movie, it would be Anzac Girls.  It’s a six-part, 2014 series that tells the story of five women serving in the Australian Army Nursing Service during the First World War. This movie also reminded me of the dignity and honor of my profession and how proud I am to be a nurse.  The women featured in Anzac Girls faced and overcame constant, life-or-death challenges under harrowing, wartime circumstances. On top of that, they endured the maddening gender biases of their day.  The movie is based on The Other ANZACs: Nurses at War 1914-1918, a history wri ..read more
Visit website
An heroic, pioneering nurse/midwife
MKC Medical Consulting | Case Management and Legal Nurse Consulting
by MKC Medical
3y ago
Here’s a fascinating oral history interview with one of Mary Breckinridge’s cousins.  Interview with Mary Marvin Breckinridge Patterson, May 13, 1978 –https://kentuckyoralhistory.org/ark:/16417/xt7xks6j411d Mary Carson Breckinridge (1881 – 1965) overcame personal and professional hardships to become one of the principal founders of organized, modern midwifery in the United States.  Born in Memphis to a prosperous and politically well-connected family (her grandfather — Kentucky’s John Cabell Breckinridge — was Buchanan’s vice president), Mary’s parents discouraged her from pursuing ..read more
Visit website

Follow MKC Medical Consulting | Case Management and Legal Nurse Consulting on FeedSpot

Continue with Google
Continue with Apple
OR