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.
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?
LIFE CARE PLANS
MEDICAL COST PROJECTION
Estimates the cost of all care according to the patient’s life expectancy, including:
Provides pricing for medical care and services for a projected lifespan or time period.
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
Medical Cost Projection may be helpful with any diagnosis.
A Life Care Plan is a complete evaluation of all areas of future needs.
A Medical Cost Projection typically focuses on medical care.
On-site assessment is usually required, unless denied by opposing counsel.
On-site assessment is not generally required.
Each team member is contacted for long-term recommendations.
Treatment team contact may not be needed.
All records that can conceivably be obtained are reviewed.
Most recent and pertinent medical records are reviewed.
Must be defensible in court and testimony is often required.
Not designed for litigation and when testimony is not appropriate.
Completed when the individual reaches or nears stability.
May be done before individual is stable.
Usually completed by a Certified Nurse Life Care Planner (CNLCP).
Certification is not required.
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