In workers’ compensation, the independent assessment of an employee that results in the preparation of a narrative medical report prepared and attested to in accordance with the state labor code. It must be performed by either a qualified medical evaluator, agreed medical evaluator, or the primary treating physician for the purpose of proving or disproving a contested workers’ compensation claim.
Insurance Encyclopedia
Medical-legal expense
Any costs and expenses incurred by or on behalf of any party, the administrative director, the board, or a referee for x-rays, laboratory fees, other diagnostic tests, medical reports, medical records, medical testimony, or interpreter’s fees, for the purpose of proving or disproving a contested workers’ compensation claim.
Medical-legal testimony
In workers’ compensation cases, expert testimony given by a physician at a deposition or appeals board hearing about the medical opinion submitted by the physician.
Medical-only claim
In workers’ compensation cases, a claim in which time lost from work does not exceed 7 calendar work days.
Medical-surgical nursing
Nursing care of adult patients whose conditions or disorders are treated pharmacologically or surgically.
Medical-surgical procedures
Phrase that refers to the services provided by a physician. Sometimes abbreviated as med-surg.
Medically (or psychologically) necessary services
Medical or psychological services that are considered appropriate care; that meet standards of good medical practice; that are generally accepted by qualified professionals to be reasonable and adequate for the diagnosis and treatment of illness, injury, pregnancy, and mental disorders; that are not provided mainly for the convenience of the patient or the physician; or that are reasonable and adequate for well-baby care.
medically dependent children’s program (MDCP)
Medicaid program that provides a variety of services (nursing and respite) to support families caring for medically dependent children in their homes to encourage deinstitutionalization of children in nursing homes.
Medically driven
In a workers’ compensation case, issues that require medical information for decision-making.
medically indigent (MI)
See: medically needy (MN) .