DESCRIPTION OF SERVICES WE PROVIDE

LEGAL NURSE CONSULTING:

• Screen and investigate cases for merit.
• Organize, paginate and interpret medical records for cases.
• Investigate medical record to determine causality, assess damages, and identify essential missing information.
• Define and document appropriate Standards of Care and deviations.
• Conduct literature research if case determines the necessity.
• Identify, locate and interface with experts, if needed.
• Act as liaison and medical educator for attorney, parties, healthcare providers, testifying experts, witnesses and others, if needed.
• Develop comprehensive written reports or provide verbal reports as needed including Chronology, Narrative, Chart and others.
• Provide assistance in preparation of interrogatories and depositions, and assist in preparing trial examination questions.
• Coordinate and attend Independent Medical Examinations.
• All Verbal and Written reports are prepared by a Certified Case Manager and Legal Nurse Consultant.

 MEDICAL CASE REVIEW:

• Review medical claims including catastrophic injury cases.
• Review and evaluate medical records to assess and identify medical, vocational, and life changing status.
• Trinity will make recommendations based on our experience and expertise to facilitate an outcome of compassion resulting in improved quality of life.
• Communicate with claims professionals and healthcare providers to discuss case, including current medical history and projected treatment plan.
• Provide claims professionals with resources to defend or substantiate claims and appropriate decisions.
• All verbal and written reports are submitted by Certified Legal Nurse Consultant, and Certified Registered Nurse Case Manager.

 REGISTERED NURSE AUDITOR:

• Audits Medical Record for accuracy of billed charges.
• Meeting with Internal and External Auditors to compare results and negotiate a settlement.
• Reports suspected and confirmed incidents of improprieties to compliance. 
• Monitors compliance of Federal, State and County reimbursement regulations.
• Creating and maintaining database files for client(s).
• Tracking audit results and Level of Care Adjustments for client(s).

 COMPREHENSIVE CASE MANAGEMENT REVIEW:

• Creating a system of tracking and documentation to facilitate improved quality of care.  This proven method fosters confidence in the provider and enables the Case Manager to identify and address any new problems immediately.
• Establishing methods of effective Case Management in the Skill Nursing Facility and Medical Offices
• Identifying criteria for continued stay.
• In-service on effective and safe Discharge Planning.
• Expert chart review for Standard of Care compliance.

CREATING AN ATMOSPHERE OF EXCELLENCE:

• Assurance of a quality experience for clients and families.
• Establishing a method of communication that is effective and consistent.
• Creating a common and mutual bond among employees and employer.
• Everyone working towards the same goal for the same purpose.
• Presenting an atmosphere of competence and safety for all clients and staff.
• Knowing that our interaction with others should be on the level we would like to receive.
• A system of positive confirmation and affirmation for consistency and excellence in service.
• Our focus on the client, family, employee and employer relation will place your organization above the rest; making it a pleasant place to come each day.  We will have fun while learning and growing together.