TLU: Intake and Pre-Lit Workup

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.