Care Cost Analyses & Occupational Determinations
We specialize in providing essential services to attorneys, claims examiners, insurance companies, and employers. Our expert team is dedicated to delivering accurate, reliable, and comprehensive solutions tailored to meet your unique needs. Explore our range of services designed to support your cases and claims effectively.
Our Approach
We work closely with our clients to understand their needs and provide tailored solutions. You will benefit from our team’s commitment to providing the highest quality services, ensuring all our reports and projections are accurate and reliable. We offer detailed bill reviews and audits, medical cost projections, life care plans, and vocational evaluations that ensure fair assessments with independent opinions that help mitigate losses and resolve claims. We pride ourselves on our expertise, accuracy, and dedication to our clients.
Medical Cost Projection
A medical cost projection is a detailed document that estimates the future medical expenses for an individual based on their current medical condition and anticipated needs. Using healthcare provider input and current medical billing data, the cost projection specialist estimates the charges associated with the projected medical needs.
Our consultants review the individual’s medical records to understand their current condition and treatment history. Within the report, the necessary medical treatments, therapies, medications, and equipment the individual will need are outlined and costed. The report often focuses on the immediate future needs.
What is the difference from a Life Care Plan?
While a medical cost projection focuses on estimating immediate and short-term medical expenses, a life care plan provides a comprehensive, long-term outlook. Life care plans consider not only medical costs but also the broader needs and quality of life for individuals with chronic conditions or serious injuries.
Life Care Plans
Determining lifetime medical and care needs of an individual with a catastrophic injury is a complex process. Our Life Care Plans are a blueprint for the necessary services, modifications, and expenses necessary to ensure the highest possible quality of life. Every detail is crucial – from major home renovations to everyday personal items.
Our experts have experience with assessing individuals with a variety of injuries and disabilities, including spinal cord injury, brain injury, labor/delivery complications, amputation, stroke, musculoskeletal injuries, severe burns, and neurological impairment. We utilize a consistent methodology to organize, evaluate, and interpret patient-specific information. When appropriate, we collaborate with treating physicians, therapists, and other experts to determine current and future needs.
Medical Bill Reviews & Audits
We verify that all charges are justified, accurately coded, and reasonable for the geographical area and type of service. If discrepancies are found, we provide support for disputing charges. Our thorough review process safeguards you from agreeing to unnecessary medical costs, especially in personal injury and medical malpractice cases. We highlight common billing and coding errors, such as duplicate claims and undocumented services, ensuring compliance with regulations.
Employability Analysis
Employability Analysis
A comprehensive and accurate Employability Analysis is a vital tool in determining the degree of permanent impairment that an individual has sustained. It also evaluates the extent to which the injury will affect his or her ability to gain and retain work. The Employability Analysis you receive is only as good as the experience and credibility of the experts who develop it and ultimately defend it – our professionals have unparalleled experience and history in the disability field. Collectively, our team has completed more than 1,000 Employability Analyses since 1996.
The impact of a disabling injury is never the same, but the questions that arise in its aftermath always are. While the questions may be simple, the answers are not always clear or easily attained.
Can the individual work? If so, what are the employment options?
What can the person earn?
What appropriate jobs are available?
Our Employability Analysis considers pertinent medical and non-medical information, functional capacity evaluations, and the most recent therapeutic treatment records. This information is combined with data relating to factors like age, education and work experience as well as psychological and sociological factors to produce a detailed data profile.
Our team employs the latest computer technologies and databases to compare a worker’s post-injury profile with the occupational characteristics of various employment options. We also examine labor market trends and wage estimates in the local market to assess the economic impact of various work options.
Vocational Evaluations
Assessing employment potentials and earning capacity is crucial for cases involving medical impairment and claims of occupational disability and diminished earning capacity. Vocational and disability evaluations are an objective assessment that answers your questions regarding the effect that medical impairment has on occupational capability and earning capacity. Additionally, when medical impairment is not at issue, forensic vocational evaluation can answer questions regarding employability in matters of wrongful death, employment discrimination, marital separation and divorce, or any time an explanation of an individual’s capacities to work and earn money is needed.
Our methodology is consistent with industry standards, and our experts rely on the best available data to arrive at conclusions regarding employability. The vocational specialist will also review documentation, conduct a transferable skills analysis, and research the labor market as part of the comprehensive evaluation.
In litigation, vocational (disability) evaluation reports are the keystone between medical impairment and economic damages. Our vocational evaluators assess an individual’s future employability and earning potentials and will testify to their reported findings for litigation purposes.