Questions and Answers
Which of the following are essential functions of the MDs and Case Managers in a claims system?
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Which of these are common consequences of vetting a case after retention?
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These are activities performed by Case Managers, EXCEPT:
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"Understanding the medicine" in the pre-lit process involves:
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Demonstratives are a useful way to illustrate damages and add value to a case.
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Study Notes
Essential Functions of MDs and Case Managers in Claims Systems
- MDs provide expert medical opinions, ensuring accurate assessment of injuries and treatment plans.
- Case Managers coordinate care and facilitate communication between patients, healthcare providers, and insurance companies.
- Both roles contribute to the effective evaluation and management of claims, impacting outcomes and costs.
Consequences of Vetting a Case After Retention
- Late vetting may expose weaknesses in a case that could have been addressed earlier, leading to potential dismissal.
- It can result in increased legal costs and time delays while awaiting necessary documentation or evidence.
- Risk of diminished settlement values due to the inability to address issues proactively during the claim process.
Activities Performed by Case Managers
- Case Managers conduct thorough patient assessments to determine needs and develop care plans.
- They follow up on treatment progress and ensure adherence to medical recommendations.
- Case Managers perform risk assessments and maintain updates on the case progress throughout the lifecycle of the claim.
Understanding the Medicine in the Pre-lit Process
- Familiarity with medical terminology and treatment protocols is crucial for effective case evaluation.
- Understanding causation and the impact of injuries on the patient's life informs better case strategies.
- Pre-lit process entails gathering relevant medical records and expert testimonies for substantiation of the claim.
Use of Demonstratives in Cases
- Demonstratives serve as visual aids to help juries understand complex medical or technical information.
- They can enhance the narrative of damages by providing clear, relatable examples of injury impact.
- Effective use of demonstratives can significantly add value to a case and sway juror opinions.
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