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Courses/Litigation, Trial & Dispute Resolution/Depositions & Discovery

Chart Attack: Audit Trails in MedMals and Nursing Home Cases

Stop relying on static PDFs—discover how to use EMR audit trails to prove facts, impeach testimony, and expose hidden evidence.

Created byNYS Academy of Trial Lawyers
BeginnerUpdated Oct 1, 2026
Chart Attack: Audit Trails in MedMals and Nursing Home Cases

What You'll Learn

check_circleDistinguish between standard medical record productions and EMR audit trail metadata
check_circleFormulate effective discovery requests for native-format audit trail data
check_circleAnalyze audit trail logs to identify discrepancies in documentation timing and authorship
check_circleApply legal arguments to overcome common objections to audit trail production
check_circleEvaluate the integrity of nursing home care plans and daily activity documentation

About This Course

Presented by a nurse and an attorney, this practical program explores how audit trails and electronic medical record metadata can uncover critical evidence in medical malpractice and nursing home cases. Attendees will learn how to identify altered entries, late charting, missing documentation, and inconsistencies between the medical record and its electronic footprint. The course will also cover discovery strategies, key terminology, and how audit trail evidence can strengthen—or undermine—a case at deposition and trial.

Topics Covered:

  • EMR audit trail vs. access logs
  • Metadata and system-level documentation
  • Legal standards for discovery and production
  • Nursing home EMR systems and CMS requirements
  • Identification of hidden providers and witnesses
  • Version history and note modification analysis
  • AI integration in clinical documentation
  • Strategies for compelling audit trail disclosure

Your Instructors

NYS Academy of Trial Lawyers
NYS Academy of Trial Lawyers
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The NYS Academy of Trial Lawyers is the largest statewide trial bar in the US with 5,700+ lawyer and judge members. We are committed to protecting, preserving and enhancing the civil justice system. Our highly acclaimed CLE programming features extraordinary presenters covering the most timely and important topics.

Carey  Beyer, Esq.
Carey Beyer, Esq.

Attorney at Francis M. Letro Law Firm

Carey handles a wide variety of cases, including motor vehicle collisions, worksite accidents, premises liability, and medical malpractice. He also handles the firm’s appellate practice, regularly arguing cases in the Appellate Division, Fourth Department in Rochester and the Court of Appeals in Albany. Carey graduated cum laude from UB Law and currently serves on the Academy's Board of Directors. He is one of the co-founders of our Special Term Project, for live court proceedings via YouTube, and our Family Fun Days!

Jessica  Shaffer
Jessica Shaffer

Owner of Tactical Legal Nurse Consulting, LLC

Jessica is the owner and operator of Tactical Legal Nurse Consulting. She is a U.S. Navy veteran with over 23 years of tactical training and expertise that she applies to her nursing practice and consulting services. She is an active bedside nurse with experience in prehospital transport, medical/surgical, and emergency medicine. She has experience as a staff nurse and has been a traveling ER nurse since March of 2020. She has also served as a nursing union officer, been a member of staffing and safety committees, and has led contract negotiations. She is a Certified Legal Nurse Consultant trained in DME/IME attendance and a member of the National Alliance of Certified Legal Nurse Consultants.

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Frequently Asked Questions

We are a registered provider with 327+ associations and regulatory bodies worldwide. We operate across 29 global markets including Canada, the US, Australia, and the UK. Every course page clearly displays its specific accreditations. Upon completion, you receive a professional certificate that can be validated online. Our certificates include all necessary accreditation details, credit hours, and completion dates, and are formatted specifically to meet the submission requirements of most global regulatory bodies.

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