Practice of Medicine

Claims Lesson

Gaps in Documentation & Lab Tracking Hamper Defensibility of Orthopedic Claim

By Rebecca Summey-Lowman, MBA, RD, LD, CPHRM

October 28, 2015

The case involves a 61-year-old female who underwent hip arthroplasty, subsequently developed a staph infection, which necessitated a surgical revision that resulted in a delayed recovery.  

The Case:

The patient had a past history of bilateral hip avascular necrosis treated by a bilateral hip core decompression. A hip arthroplasty was performed by the orthopedic surgeon. Five days after the …

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