Records-only review
Orthopedic Medical Record Review
A focused review of medical records, imaging and prior treatment, producing a written orthopedic opinion where an in-person examination is not required.
Definition
An orthopedic medical record review is a documentary evaluation in which the physician analyzes records, imaging, operative notes and prior opinions to answer defined medical questions, without examining the claimant.
At a glance
- Requests
- By email to Delaney Loprieno
- Examination
- Not required
- Geography
- Illinois and out-of-state matters
- Turnaround
- Typically 3–7 business days
Who requests a record review
Attorneys evaluating the medical strength of a claim, carriers assessing exposure or treatment authorization, employers and third-party administrators, and counsel seeking a preliminary read before deciding whether a full examination or expert engagement is warranted.
What is reviewed
- Emergency, urgent care and primary care records
- Orthopedic and physical therapy treatment records
- Imaging studies and radiology reports
- Operative reports and post-operative course
- Prior IME reports and treating-physician opinions
- Employment, job description or restriction documentation where relevant
Questions a record review can answer
- Whether the documented findings support the claimed diagnosis
- Whether the reported mechanism explains the injury
- The contribution of pre-existing degenerative change
- Whether treatment rendered was reasonable and necessary
- Whether proposed surgery is supported by the record
- Whether stated restrictions are consistent with the findings
Work product and next steps
The result is a written report addressing each question in turn, identifying the materials relied upon and stating where the record is incomplete or inconclusive. A record review can stand alone, precede an independent medical examination, or be supplemented later if additional records become available.
Where testimony is subsequently required, Dr. Horner has extensive deposition experience and is available for deposition on opinions he has authored.
Submitting a request
Record review requests are directed to Delaney Loprieno at dloprieno@genesisortho.com, or through the case review request form. Please include the case type, the orthopedic region at issue, the approximate volume of records, the questions to be addressed and the desired timeline. Do not attach confidential records to an initial inquiry; a secure transfer method is arranged after engagement.
Common questions
When is a record review preferable to an IME?
How are records submitted?
Are out-of-state record reviews accepted?
How long does a record review take?
Request a medical record review
Submit preliminary case information and the requested service. Reports are typically returned within 3–7 business days of receiving complete materials; unusually large record sets may take longer.
Submitting an inquiry does not create an attorney-client relationship, a physician-patient relationship, or an expert engagement. Independent medical examinations and record reviews are performed for the requesting party and do not constitute medical treatment. Do not transmit confidential medical records or protected health information through an unsecured form or email; records are exchanged after engagement through an appropriate secure process.