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Life Care Planning

What is a Life Care Plan?

A life care plan outlines an individual’s needs throughout the healthcare continuum, in multiple settings, and throughout life expectancy. Like any nursing care plan, a Life Care Plan must be flexible, with provisions for periodic re-evaluations and updates.  Source: AANLCP Scope and Standards

Life Care Plans may need a review or rebuttal by opposing counsel to verify the reasonableness of future care, foundation and for appropriateness of usual and customary costs for goods and services.

Who Needs a Life Care Plan?

Life Care Plans are most often developed for individuals with injuries or chronic conditions requiring complex long-term healthcare intervention and management.

This document provides an organized, concise plan that estimates for reasonable and necessary (and reasonably certain to be necessary) current and future healthcare needs with the associated cost and frequency of goods and services.

Life Care Planning


Life Care Plan Critique

Life Care Plans may need a review or rebuttal by opposing counsel to verify the reasonableness of future care, foundation and for appropriateness of usual and customary costs for goods and services.

A Life Care Plan Can Be Helpful For:

  • Traumatic and Anoxic Brain Injuries
  • Spinal Cord Injuries
  • Birth Injuries
  • Burns
  • Amputations
  • Neck and Back Pain
  • Chronic Pain
  • Upper and Lower Extremity Injuries
  • Complex Regional Pain Syndrome
  • Cerebral Palsy
  • Dental Injuries
  • Multiple Trauma
  • And more…

Medical Cost Projections

What is a Future Medical Cost Projection?

An attorney may desire a smaller report that outlines the costs for a short-term treatment, for example: future replacement of a joint implant or a single back surgery. This can be useful for settlement purposes.

Medical Records are reviewed and researched for the necessity of future treatment and for reasonable and customary cost in the geographical area that the client will receive services.

Defense may be given a future medical cost projection that needs a professional review for appropriateness and reasonableness of treatment and forusual and customary costs.


Medical Bills Reviews

What is a “Reasonableness of Past Medical Bills” Report?

Past Medical Bill reports are requested by plaintiff and defense attorneys who would like an expert report that past medical bills are reasonable and that these costs are usual and customary. While only a physician can testify that every test, treatment and surgery are absolutely required, our reports show the relationship between the injury and the subsequent treatment. Every treatment or equipment is researched for its reasonable and customary cost in the geographical area where the treatment or equipment is received.

Medical records are reviewed and paired with corresponding bills. Medical expert reports as well as depositions if available are consulted. We monitor for the appropriateness of codes; i.e., CPT, DRG and HCPCS, the appropriateness of the costs through utilization of nationally accepted published standard prices that are adjusted to the geographic area or by phone calls to local providers.

For both defense and plaintiff counsel, the report is a concise review and assessment of the codes and costs and the relationship to the injury.

Review Medical Bills