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Nolan Horner, MD

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?

When the questions can be answered from the documentary record — for example causation, treatment appropriateness or surgical necessity — or when the examinee is unavailable, out of state, or an examination is not warranted by the amount in dispute.

How are records submitted?

Record review requests are made by email to Delaney Loprieno at dloprieno@genesisortho.com. Records themselves are transferred after engagement using an appropriate secure method; do not send protected health information through an unsecured form.

Are out-of-state record reviews accepted?

Yes. Record review does not require an in-person examination, and consultation by telephone or video is available for matters outside Illinois.

How long does a record review take?

Reports are typically returned within 3 to 7 business days of receiving complete materials. Very large record sets or matters requiring additional information may require additional time, which is confirmed in advance.

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.

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