An orthopedic medical records review involves examining and analyzing a patient’s medical records related to orthopedic conditions and treatments. This process is typically performed by healthcare professionals such as orthopedic surgeons, orthopedic specialists, or medical reviewers with expertise in orthopedics.

During a medical records review, the reviewer carefully evaluates various aspects of the patient’s medical history, diagnostic tests, surgical procedures, treatment plans, medication use, and rehabilitation progress. The goal is to assess the quality of care provided, identify any discrepancies or issues, and make recommendations for improvements if necessary.

Orthopedic medical records reviews are often conducted for several reasons, including:

1. Legal Cases: In legal proceedings such as medical malpractice lawsuits or personal injury claims, a thorough review of orthopedic medical records is crucial to determine if there was any negligence or improper treatment that led to harm or injury.
2. Insurance Claims: Insurance companies may require a medical records review to assess the necessity and appropriateness of orthopedic treatments and procedures for coverage purposes.
3. Quality Improvement: Healthcare organizations and providers may conduct medical records reviews as part of their quality improvement efforts to ensure that patients receive high-quality orthopedic care and to identify areas for process enhancement.
4. Second Opinions: Patients or referring healthcare providers may request a second opinion from an orthopedic specialist by providing access to the patient’s medical records for review.

Overall, an orthopedic medical records review plays a crucial role in evaluating patient care, ensuring adherence to medical standards, and facilitating informed decision-making in healthcare settings.

For assistance with Medical Records Review Requests and Scheduling, please contact:
Kimberly Mott
kmott@pocatlanta.com
Tel: 404-355-0743 ext. 1778