Injury Eligibility
Neck and Back s/s with 6 months of chiro
Yes
How would you capture an ER visit for a neck/back sprain strain?
Examination of Musculoskeletal System- GP or ER visit - neck or back pain 8E0KXY.GP
How do you enter radicular complaints with no diagnostic testing completed but consistent complaints?
Paresthesia (pins and needles)
Clear policy limit cases
No
How would you capture an ortho visit for a shoulder sprain/strain?
You don't :)
How do you label the report from LNAV in documents?
Category: Investigative Report
Description: LNAV General Damage Summary
Neck sprain with an ER visit and 4 PCP visits
No (do not enter if incurred treatment < 45 days from the date of loss)
How would you capture an exacerbation to a prior injury to the spine?
Capture the sprain/strain injury. Consider the accepted treatment period, given the potential prolonged recovery.
How do you enter a exacerbation of a pre-existing condition for spine/joint injuries?
As a sprain/strain
Shoulder tear with surgical recommendation
Yes
When would it be appropriate to capture "Headaches" as a complication in LNAV?
If they are persistent and documented
Ortho record: Fracture to ankle confirmed at ER, placed in walking boot for four weeks and non weightbearing with crutches. How do you capture this injury in LNAV?
Capture the fracture, walking boot and the crutches.
Major leg scar with soft tissue injuries
No
How would you capture a partial left shoulder tear with a surgical recommendation? (Minor, Moderate, Severe)
Severe
How do you enter future treatment in LNAV?
Under Injury dropdown, select Prognosis and enter the date of the prognosis for the future treatment and the prognosis type.