EXHIBITS

DEFINITION

The word ‘Exhibit’ (legal) refers to an evidence in physical form brought before the court or authorized personnel for verification.

Records to be included in the exhibitsThe purpose of exhibits is for verification of information

given in the demand with the pertinent medical record.

The exhibits contain the following:Traffic Crash ReportEMS /ambulatory reportER-Physician RecordER-Trauma RecordDiagnostic studiesFollow-up visitsPhysical Therapy recordsChiropractic recordsSpecialty visitsMedical BillsMedical illustrationsWage loss detailsMedical evaluations stating future treatments required

RECORDS NOT TO BE INCLUDED IN THE EXHIBITS

Blank PageFlow sheetTrend reportWaveform ReportDischarge Instructions/SummaryPersonal Belonging ListPhysician’s ordersSignature SheetLabsECG stripIntravenous Therapy SheetPhysician Supplementary CertificateReferral FormFaxDeclaration of assets

Administrative CorrespondenceMedication ListPhone Call DocumentationNotice of Doctor's LienCorrespondenceClaim DetailsCase Completion DataChecklistsPatient RegistrationOffice Policies, HIPAA NoticeConsent QuestionnaireNeuropsychological Deficit Scale

PREPARATION OF EXHIBITS There should be an initial cover page with the heading in the center “

TABLE OF CONTENTS”. This should be followed by another cover page

Exhibit-1. A cover page should be added between exhibits stating the

number of the exhibit.

The initial exhibit should be the one giving a detailed description of the

accident or injury.

Eg: The Traffic Collision Report/Police report

The following exhibits should be made hospital/provider-wise. All the record

from one particular hospital/ medical provider should be an exhibit and

records from another hospital /medical provider the next exhibit.

Eg: Spartanburg Medical Center =Exhibit-A

South Orange Wellness Injury Center = Exhibit – B

Medical expenses exhibit: The consolidated bill containing the total

medical expenditure for the treatment rendered by the patient should be the

first bill. Following this, individual bills of various hospitals to be included.

INDEXING FORMAT OF MEDICAL RECORDS

Date Provider Occurrence Sub-Type PDF REF

12/06/2013 TCR

Accident Scene Investigation Report 19-20

12/06/2013Spartanburg Regional Healthcare system ER Record mva 30

12/06/2013Spartanburg Regional Healthcare system ER Record 114-141

12/06/2013Spartanburg Regional Healthcare system CT brain 142-143

12/06/2013Spartanburg Regional Healthcare system x-ray reports chest 147

12/09/2013 Glace Na Norton

Office Visit/Follow-up Visit 88-92

12/12/2013 Orthopedic Specialties Orders MRI 2212/12/2013 Orthopedic Specialties duty slip 23

12/12/2013 Orthopedic Specialties

Office Visit/Follow-up Visit 94-96

12/18/2013 South Carolina Diagnostic MRI left shoulder 98-99

01/15/2014 Advanced Therapy solutionsphysical therapy records initial 78-79

01/15/2014 Advanced Therapy solutionsphysical therapy records 77

EXHIBIT ORDER FORMAT FOR THE RESPECTIVE INDEXING COPY OF THE

MEDICAL RECORDSDate Exhibit Provider Occurrence Pdf ref Yes/

No

12/06/2013 A TCRAccident Scene Investigation Report 1-3

Yes

12/06/2013 BSpartanburg Regional Healthcare system ER Record 6-8

Yes

12/06/2013 BSpartanburg Regional Healthcare system ER Record 10-12

Yes

12/06/2013 BSpartanburg Regional Healthcare system CT 15

Yes

12/06/2013 BSpartanburg Regional Healthcare system x-ray reports 16

Yes

12/09/2013 C Glace Na Norton Office Visit/Follow-up Visit 22-24Yes

12/08/2013 HXYZs Law FirmClient Interview form/Legal documents 30-34

No

12/12/2013 Orthopedic Specialties Orders 36No

12/20/2013 D Orthopedic Specialties Physical therapy records 45-53Yes

THE DEMAND LETTER FORMAT FOR THE EXHIBITS

COND….

PROCESS FLOW FOR EXHIBIT PREPARATION

1. Indexing

and drafting of

demand letter with

the available medical records

2. Preparatio

n of exhibit order

using the indexing3.

Preparation of

exhibits by extracting

the medical records using Nitro

software

4. Merging

the exhibits with the

PDF format of

the demand

letter

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