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Nursing and Physician Case Reviews Catastropic & Complex Medicare Set-Aside Arrangement (MSA) |
We review catastrophic and complex claims as well as those “old dog” claims in light of evidence based medical criteria. We then develop a strategy for medical management of the claim that will optimize rehabilitation outcome, mitigate the loss and promote an optimal resolution.
Cases for review include:
What types of services might be utilized in a strategic plan? After initial review we provide you with an assessment of the claim as well as a plan to help mitigate the case with an eye toward moving it to resolution. Plans may include:
We are familiar with multi-venue differences and issues in Liability and Workers’ Compensation laws and have experience in all fifty states. We will work closely with the claim management team and assigned legal counsel to assist you in obtaining a winning resolution on your toughest cases. We work with you to calculate your current cost, cost of plan implementation and return on investment. In applicable cases, we will help to position the claim prior to your obtaining a Life Care Plan or Medicare Set-Aside Arrangement, in order to promote the most appropriate long-term assessment of ongoing care. When appropriate we can also provide you with a Medicare Set-Aside Arrangement on a given case or conduct a review of a proposed Life Care Plan. |
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Catastrophic & Complex Claim Consulting