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Case Management of individuals with catastrophic
injuries and illnesses presents a special kind of challenge
for the claims professional. The injured person faces
an acute medical emergency, the prospect of long-term
major disability and major disruption of activities
and relationships that have defined him or her as an
individual. The claims professional must be able to
understand the special needs that arise and address
them in a way that realistically meets both present
and future levels of care and resulting disability.
Life Care Planning is an effective way
for the claims professional, family and medical
providers to manage the case. It provides a comprehensive
understanding of the scope of the individuals medical
and personal necessities. Life Care Planning is a multidisciplinary
approach to systematically evaluate and document present
and future needs of the individual. It offers a map
to help plot the course of current and future services,
frequency of treatment interventions and their current
costs. It can be an adaptable document which means the
plan can be amended or updated based on changes in the
individuals condition.
Done well a Life Care Plan will help in
the administration of the claim and in the
resolution of possible legal disputes about care, costs
and compensation. Excel Managed Care & Disability
Services has medical nurses who can give you what you
need.
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