Certified Life Care Plans
A
comprehensive plan that forecasts the future medical needs and related
costs throughout the life expectancy of a catastrophically injured
person or a person with a devastating life long injury or illness. The
benefits of a Life Care Plan provide a detailed overview of your
client’s future medical needs. Our Life Care Plans are completed by
Certified Nurse Life Care Planners and/or Certified Life Care Planners.
Life Care Plans can assist you with future medical costs for settlement
purposes and assist you with planning strategies on your file. They
require direct contact with the injured person.
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Medicare Set-Aside (MSA) Allocations
Recommended
by the Medicare Secondary Payer Statute in the settlement of workers’
compensation and general liability disputes. A MSA report determines
the amount of settlement dollars to be “set aside” for injury-related
medical expenses typically covered by Medicare in order to avoid the
shifting of burden from the primary payer to Medicare. Under certain
circumstances, this proposal is required to be sent to the Center for
Medicare and Medicaid Services (CMS) for approval.
CMS Submission Service: We will send a proposal to CMS upon the request of the referral source. We send all proposals in a PDF format burned onto a CD first class to CMS. A cover letter is always given to the referral source for their record keeping. We followup with our proposals every two weeks until approval is obtained. Our current approval rate is 73 days for all regional offices.
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A
comprehensive report resulting from a review of past and present
medical records which accurately projects future medical costs based
upon a client’s projected lifespan. This report is a valuable tool that
can assist in determining future medical costs for settlement purposes.
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Vocational Rehabilitation
A
service utilizing experts who accurately and objectively assess an
employee’s ability to safely return to work. A customized and
comprehensive vocational rehabilitation plan is developed, which may
include consultations with medical treatment providers, the employer
and the employee; a comprehensive review of medical and psychological
records; ergonomic assessments; work site and job analyses to determine
physical demands and modifications; and transferable skills analysis
and labor market surveys for job placement.
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Medical Legal File Reviews
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A
report that chronologically details the medical treatment of the
claimant. The nurse offers recommendations to the adjuster/claims
examiner with regard to future treatment protocols and cost-effective
procedures currently available. This report includes a Medical Cost
Projection.
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Medical Billing Utilization Audit Review
Bill
auditing of medical treatment received by individuals from providers
and/or treating facilities to determine appropriateness of services.
Acting as an advocate, a comprehensive report is completed and
evaluation for accuracy of billing is determined.
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Senior Care Consulting
Our
expertise allows us to assist the elder care population in a variety of
areas through assessment, planning, and evaluation. We provide services
to not only the elder population but to their families who may be
struggling with seeking much needed assistance for that particular
family member. A comprehensive report is completed involving all
aspects of a elder person's needs.
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