Uses of a physician chart review

 


A complete record of a patient’s medical history documented by a physician is called a physician chart review. A medical chart is a valuable document that is necessary for various legal and medical uses. Different medical or physician chart reviews have different uses. The points below explore those uses:  

 

Chart review for medical purposes

 

These chart reviews are mostly needed by healthcare organizations and health insurance companies to provide optimal costs and determine the aptness of care. Pre-authorizations and concurrent hospitalization reviews fall under this type of category.

 

Chart reviews for legal purposes

 

In some medico-legal cases, courts require valid information about the quality of medical care. This is done to find any kind of medical negligence. A physician chart review is often done by an expert medical review team hired by the defense lawyer. They review all the provided medical records to prepare a statement about the medical care provided.

 

Chart review for employee’s compensation

 

Quite obviously, a worker injured on the job has to be evaluated by the insurance company before approving the compensation. A physician chart review is intended to provide a medical opinion about the injury and how it restricts the worker from carrying out his/her duties.  

 


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