Frequently Asked Questions (FAQ)

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1. What is Life Care Planning, and how can it benefit my clients?

• Answer: Life Care Planning is a combination of objective review and subjective interpretation based on comprehensive assessment for a planning process designed to address the long-term healthcare and related needs of individuals facing chronic illness, injury, or disability. It helps provide a clear roadmap for future care and associated costs. By incorporating Life Care Planning into your case, you can ensure that your clients receive the necessary care and support they require, while also establishing a solid foundation for legal proceedings.

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2. Is a Medicare Set-Aside Analysis reliable for valuing future medical in terms of Medicare-covered expenses at settlement?

• Answer: The short answer is no.  There are a number of subtle, yet distinct differences between a Medical Cost Projection or a Life Care Plan and a Medicare Set-Aside in terms of the methodology for arriving at a final valuation.  While there are a multitude of methodologies at work that differ, the methodology that has the greatest impact on the final valuation is that of the use of a Rated Age report.  A Rated Age report is used in every Medicare Set-Aside written and is an acceptable industry standard; however, in a Medical Cost Projection or Life Care Plan, the use of a Rated Age report is far less, as it is typically reserved in cases of extreme catastrophic injury, such as with a spinal cord injury.

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3. What are Medical Cost Projections, and when are they necessary?

• Answer: Medical Cost Projections are highly objective reports, relying almost exclusively on the pattern of care and physician opinion.  The Medical Cost Projection involves estimating the future medical expenses related to an injury or medical condition. They are essential when determining the potential costs of medical care, rehabilitation, and treatment. These projections are valuable for settling cases, calculating damages, and ensuring fair compensation for clients involved in personal injury or workers' compensation claims.

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4. What is the Medicare Secondary Payer Act, and why should I be concerned about compliance?

• Answer: The Medicare Secondary Payer Act (MSP) is a federal law that designates Medicare as a secondary payer in certain situations, typically when another primary payer exists (e.g., private insurance, workers' compensation). Compliance with MSP is crucial to prevent Medicare overpayments and potential legal consequences. Failing to comply with MSP requirements can result in penalties. Our services assist you in navigating MSP compliance, mitigating risk, and ensuring your clients' interests are protected.  Failing to consider Medicare at settlement where appropriate can put Medicare benefits as risk.

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5. How can your services benefit my practice?

• Answer: Our services provide valuable support by:

  • Enhancing case strategy and preparation with comprehensive Life Care Plans and Medical Cost Projections.

  • Ensuring MSP compliance, reducing legal risk, and protecting all parties to settlement by accounting for MSP compliance.

  • Offering expert witness testimony to strengthen your case.

  • Providing accurate cost estimates for negotiations and litigation.

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6. How do I get started with your services?

• Answer: Getting started is simple. Contact us via chat, email or phone to discuss your specific case or client needs. We will assess your requirements, provide a tailored plan of action, and guide you through the process from start to finish.

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7. Are your services available nationwide?

• Answer: Yes, our services are available nationwide. We have a team of experts and certified professionals who can assist you and your clients, regardless of your location.

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8. What credentials and experience do your professionals possess?

• Answer: Our team includes Registered Nurses, Certified Life Care Planners, Certified Medical Cost Projection Specialists, and Certified Medicare Secondary Payer Professionals with extensive experience and expertise in their respective fields. We are dedicated to upholding the highest standards of professionalism and accuracy.

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9. How do your fees work?

• Answer: Our fees are structured based on the scope and complexity of the services required for your specific case. We provide transparent pricing and work closely with you to ensure our services align with your budget and goals.

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10. Can you provide references or report examples showcasing your abilities?

• Answer: Yes, we will provide report examples upon request.  Since inception, we have a proven track record of assisting attorneys and insurance adjusters in achieving favorable outcomes for their clients.

 

11. How can I contact your team to discuss my specific needs?

• Contact Us.  If you have questions about our process, we're happy to elaborate further.​​​​

  • We are available via chat, phone, email, and mail.​

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