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Life Care
Planning and
Medical Cost
Projection |
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At Encore
Unlimited, we
provide Life
Care Planning
and Medical Cost
Projection
Services. These
are helpful
during critical
phases of a
workers'
compensation,
accident and
health, or
liability claim,
by projecting
costs for
medical care,
identifying
appropriate care
needs over a
lifetime and
qualifying
damages
resulting from
an illness or
injury. These
services can
also assist in
setting,
adjusting and
anticipating
realistic
reserving needs
for any file in
which medical
needs are
catastrophic or
serious in
nature.
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Life Care
Planning
This evaluation
focuses on the
psychosocial,
physical,
vocational,
emotional, and
financial
aspects of a
catastrophic
illness or
injury. Life
care planning is
an effective
means to
realistically
control the
present and
future services,
costs, and
frequency of
treatment.
Encore
Unlimited’s life
care plans are
completed by a
Certified Nurse
Life Care
Planner who is
available to
defend their
analysis in
court and
provide a
comprehensive
outline that
projects the
cost of care
over an
individual’s
life expectancy.
Medical Cost
Projection
This service is
an evaluation
which estimates
the costs and
service needs of
a particular
illness or
injury over a
projected time
period or
lifetime.
When a
catastrophic or
significant
injury occurs,
we can assist in
establishing the
medical reserve
needed to cover
the exposure at
the onset of the
claim, and
provide
assistance in
re-evaluating
the medical
exposure as the
claim
progresses.
What can Encore
Unlimited do for
you?
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Project future
costs for medical care.
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Quantify
the damages resulting from an
injury.
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Provide a
reliable tool for reserve analysis
and settlement negotiation.
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Identify
appropriate medical treatment
needs over a lifetime.
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Project
home health care, durable medical equipment,
therapy and prescription
lifetime needs.
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Project current and future
modification
equipment and home/auto/work transportation
needs.
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Forecast anticipated
vocational
needs and
costs of vocational services over a lifetime.
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Update an existing Life Care Plan.
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Determine if an
opposing plan is
inappropriate or inaccurate.
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LIFE CARE PLANS
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MEDICAL COST PROJECTION
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Estimates the cost of all care according to the patient’s life expectancy, including:
- Future medical care
- Therapies
- Diagnostic testing
- Medication
- Medical supplies
- Mobility
- Aids for independent function
- Orthotics, prosthetics, orthopedic needs
- Home modification
- Projected surgeries, hospitalizations
- Home health/facility care/case management needs
- Transportation
- Leisure/recreational/environmental needs
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Provides pricing for medical care and services for a projected lifespan or time period.
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Life Care Plans may be appropriate for diagnoses that include: Amputations, Birth injury, Blindness, Burns, Cerebral Palsy, Chronic Pain, Complex Regional Pain Syndrome, Crush Injuries, Multiple Surgeries, Multiple Trauma, Neurodegenerative Disease, Spinal Cord Injury, Toxic Exposure, Transplants, Traumatic Brain Injury, Ventilator Dependency
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Medical Cost Projection may be helpful with any diagnosis.
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A Life Care Plan is a complete evaluation of all areas of future needs.
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A Medical Cost Projection typically focuses on medical care.
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On-site assessment is usually required, unless denied by opposing counsel.
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On-site assessment is not generally required.
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Each team member is contacted for long-term recommendations.
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Treatment team contact may not be needed.
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All records that can conceivably be obtained are reviewed.
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Most recent and pertinent medical records are reviewed.
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Must be defensible in court and testimony is often required.
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Not designed for litigation and when testimony is not appropriate.
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Completed when the individual reaches or nears stability.
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May be done before individual is stable.
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Usually completed by a Certified Nurse Life Care Planner (CNLCP).
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Certification is not required.
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