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my name is Pat Iyer. I'm president of a legal nurse consulting company I started in 1989. I know you're here to find out more about medical records. I have reviewed thousands of medical records in the twenty six years that I have been reading medical charts involved in litigation. Recently I asked attorneys what were their biggest challenges with medical record. I asked my audiences attorneys when I taught a program on medical records for the New Jersey Institute of Continuing Legal Education. Here's what they had to say. How do I know certified copies are complete? The facility sends you a certified copy of the medical record which means that someone supposedly compared to everything that was printed out with the original medical record and agreed that every page was duplicated. You get the medical record in your office and then realize this missing nursing notes, progress note or an operative report or other pages. We recently received a medical record that had no physician orders o...
