Designed to maximize functional independence, a Life Care Plan is a comprehensive analysis and projection of lifetime medical and non-medical care needs and associated costs for a catastrophically injured individual. The nursing process is the foundation of nurse life care planning. Examples of catastrophic injuries are acquired brain injury, spinal cord injury, multiple trauma injuries, burns, amputations, chronic pain, and birth injuries.
Life care plans can be used to assess damages or future needs and costs in workers’ compensation, personal injury, medical malpractice, and Medicare Set-Aside Arrangements
What is Catastrophic Case Management?
Catastrophic case management is a process involving comprehensive services to facilitate optimum recovery and, when feasible, return to employment.
What is a Legal Nurse
Consultant?
A legal nurse consultant is an individual with expertise in both nursing and the law who is trained to assist in the litigation process by interpreting medical records and identifying relevant medical issues.
Legal Nurse Consultant services are provided for Plaintiff and Defense in Personal Injury, Medical Malpractice, Product Liability, and Criminal cases to assist in successful case resolution.
What is a Medicare Set-Aside Allocation?
A Medicare Set-Aside Allocation (MSA) is a projection of medical and non-medical needs for an injured worker over his or her life expectancy. An allocation is needed to assess future costs for settlement purposes and submitted to the Centers of Medicare and Medicaid (CMS) in Workers’ Compensation cases meeting the following thresholds:
When an individual is currently Medicare eligible and the total settlement value
is greater than $25,000.
When an injured worker has a reasonable expectation of Medicare enrollment
within 30 months of the settlement date and has a total settlement greater than
$250,000.
