8 rules for taking the perfect workers’ comp patient history

This article is intended for medical providers who need to write a history of a work-related injury.

The quality of a patient’s injury history can make or break the accuracy of an impairment rating. Read our eight rules on conducting a complete patient interview,  including how to let silence be your friend, and the one comment that every good medical history should include.

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What is a PR-4 Permanent & Stationary Report? (for patients)

What is a PR-4 report? What is a permanent and stationary report?

The significance of a PR-4 report can be confusing to patients. This video below explains the significance of PR-4 reports for injured workers. This video introduces the topic of PR-4 reports. I’ve shown it to a few of my patients before the actual PR-4 examination takes place. It answers about 80% of the common questions that patients have about the report and the exam—a real time saver for everybody.

If you’re a patient and you have a work injury, then this video will cast some light on how your work injury is going to be evaluated and rated.

If you’re a medical provider or office manager at a medical clinic, please feel free to use the video to help explain the significance of the permanent and stationary report to injured workers that you are going to examine. Send your patients the link to this post via email, and they can watch it on their home computer—or on their cell phones while they’re in the waiting room.

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Telemedicine

Telemedicine is the delivery of medical care, including an actual discussion of medical history and a physical exam.

Just like an office visit, in a telemedicine visit the doctor interviews the patient, gets a complete history, and then performs an exam. Recent advances in technology now allow providers to remotely measure blood pressure, oxygen saturation, cardiac and lung auscultation. They can even look at the tympanic membranes of the inner ear drum or take high resolution pictures of the skin without actually being in the same room as the patient.

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