Monitoring Medical Records

The Importance of Monitoring Medical Records

If your law office works in the field of healthcare liens or personal injury law then you probably spend a lot of your time staring down at client’s medical bills. These financial accounting records consist of itemized statements that are associated with either a hospital, clinic, practice, or physician and can relate to a wide range of medical services including: surgeries, physical therapy sessions, office checkups, hospital stays, rehabilitation, and even prescription medication. We have all seen a medical record before; however, a healthcare lien ledger, as many law office staff members refer to it, may be a different monster.

Medical Bills in the Legal Context

Keeping tabs on all of your client’s relevant medical documents can be taxing. To add to the confusion, when a healthcare company asserts their interest in recoveries from its patients by placing a lien, the healthcare company sends the law firm a healthcare lien ledger which is an itemized list detailing all the medical listings that relate to your client’s condition and the expected reimbursement. In most cases, at least a few of the listed medical records are not relevant to the case. This is usually because the healthcare company is unaware of the reason for the medical service that was performed. For example, if a client was involved in an accident on the way home from the chiropractor’s office, the healthcare company may not recognize that the trip to the chiropractor was unrelated to the medical bills stemming from the accident. More often than not, some of the ledger’s listed items do not pertain to the client’s case.

Paralegals Manage the Documents

Typically, a law firm will assign a paralegal to monitor and maintain their medical documents or the healthcare lien ledger. Because medical bills contain a lot of value for a legal argument, the paralegal is required to sort through the ledger’s itemization list and distinguish what bills are relevant to the case and what items are unrelated. Having the right set of eyes that can differentiate between the two is critical to a law firm’s case. These wrongfully listed medical records will be challenged by the law firm and eventually removed from the file. When it’s time to finalize your healthcare lien, you will be thankful that your diligent paralegal closely monitored the ledger to ensure the itemized list is accurate.

If you are interested in learning more about healthcare liens, please feel free to contact our firm.

For more information or to schedule a consultation, please submit our contact request form or call (877) 242-0022.

Disclaimer: The information contained in this article is for general educational information only. This information does not constitute legal advice, is not intended to constitute legal advice, nor should it be relied upon as legal advice for your specific factual pattern or situation.


"I just want to thank Synergy for their great work in getting a health insurance lien resolved. The health insurance company refused to reduce their lien a penny from a motorcycle accident involving my client who was not wearing a helmet, a fact that would have hurt our award in front of a jury. Synergy put tremendous pressure on this company, and after months of bombarding this insurance company with statutory requests and threats, they were able to get them to give in and reduce the lien significantly. The cost was minimal in relation to the hard work they put in, and the savings my client received. Client was very happy, and it allowed me to close out a case that I had resolved over 6 months before. Keep them in mind if you are dealing with a smug insurance adjuster who felt confident he would not have to reduce a lien, like I was dealing with. Thank you very much Synergy."

Jeffrey A. Adelman, Esq.
Adelman & Adelman, P.A.

"Synergy is an invaluable partner in the mediation process. They have extensive expertise in Medicare, Medicaid and Structured Settlements and the ability to explain the impact of these complex concepts to my clients in simple, clear and understandable language. This allows me to focus on obtaining the best possible result in the settlement process."

Michael J. Winer, Esq.
President Florida Workers Advocates (FWA)

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