Workers’ Compensation

Jolly Consulting nurses are available to accompany your client to 4:10 exams as objective observers. We provide you with a report (verbal or written) of our observations, and are then available to provide the court with the facts during testimony.

We provide Medicare Set Aside (MSA) reports as part of our Worker’s Compensation casework. Required by the federal Medicare Secondary Payer statute, an effective MSA Allocation can mean the difference between prompt CMS approval of a settlement and long months of negotiation and document production. Jolly Consulting’s veteran nurses simplify this complex process. Just send us the medical records and some additional information and we do the rest, including taking care of the submission.

Case Examples

Jolly Consulting reviewed thousands of documents related to prolonged medical care. We provided the client with a concise, user friendly tool which clearly outlined preexisting conditions, injuries and subsequent treatment. We identified related and unrelated treatment. This tool was used by our client during depositions and was a major source of time savings for the litigation team.


In another case, Jolly Consulting procured a local cardiologist supportive of a pre-existing heart condition being exacerbated by an injury at work, resulting in a total work disability.

To take aspirin or not take aspirin, that is the question

We thought we had this down, right? We take low dose aspirin every day to help fight our risk of cancer and heart disease. Wrong. At least according to a recent analysis of nine trials involving more than 100,000 people. Aspirin can lower our risk of first heart attack or stroke by 10%. Of course, …

Watch potassium levels after heart attacks

Findings related to potassium levels in a new study by the in the Journal of the American Medical Association challenge the current clinical guidelines. Monitoring potassium levels post MI (myocardial infarction AKA heart attack) is routine. Current guidelines recommend serum levels of 4.0 – 5.0 mEq/L. The study found better survival among those people whose …

Acute limb ischemia: step-by-step approach

Acute limb ischemia is recent onset (less than 14 days) of decreased limb perfusion that endangers life and/or limb. It is a medical emergency whose management options depends on the individual case. American Journal of Medical Sciences has a guide for medical/surgical management.

Does your doctor understand what you’re telling him?

Research showed empathy, the ability to understand a person’s situation, perspective and feelings, has declined in medical students and residents. The future physicians are showing signs of not being able to relate to their patients.

High blood pressure still out of control

Despite updated guidelines on the treatment of hypertension, the American Heart Association recently found uncontrolled blood pressure was common. There have been improvements in identification of hypertensive patients and increased numbers of hypertensives taking medications. The AHA concluded additional efforts were required to treat hypertension.

Is that lab coat making me sick?

Yes. Up to 60% of hospital staff’s uniforms are colonized with potentially pathogenic bacteria including drug-resistant bacteria. Source: American Journal of Infection Control

C. Diff can be spread without touching a patient

A small study from the American Journal of Infection Control showed Clostridium difficile spores were just as likely to be found on a gloved hand after it contacted an environmental surface (bed rail, bedside table, telephone, call bell) as after it contacted commonly examined skin sites (chest, abdomen, hand). While this is a small study, …

Nurses are #1, again!

The most recent Gallup poll regarding the most trusted professions has ranked nursing as #1. Nursing has consistently maintained this #1 rating since it was added to the list in 1999.

Better Nurse Staffing = Better Outcomes

We already knew this, right? So, why aren’t facilities decreasing the nurse:patient ratio? Because it is expensive. Research shows nurses provide cost effective care compared to other health care professionals. It also supports better outcomes are associated with lower nurse:patient ratios. Be a savvy health care consumer. Inquire about a facility’s nurse:patient ratio before consenting …

CDC on Health Care Associated Infections

The most deadly of health care associated infections is the central line associated bloodstream infections. These infections carry mortality rates up to 25%. These infections are commonly acquired in intensive care units (ICU), inpatient wards and hemodialysis facilities. A recent article by the CDC in Annals of Emergency Medicine compared rates of bloodstream infections associated …