What if the Employee Brings Their Own Records?

24 July 2012 / Medical History / Comments Off on What if the Employee Brings Their Own Records?

Be careful about this one. This begs the question directly of “What is a medical record”.

In general, I will review medical documents brought by the employee if they are clinic chart notes, laboratory testing, imaging or consultations. I will make a photo copy of theses record to keep with the “formal” medical file. I will not accept into the chart review a summary document written by the patient, the spouse, or well intending family member.

I will create a specific section for “employee provided documentation” so it is clear what has been provided on behalf of the parties, and what is being brought directly from the employee.

Remember, these may be documents never seen before in the claim.

Keep it separated, and keep it clear. You won’t go wrong.

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