PRG Insurance Recruiters’ Post

FUN FRIDAY Referral – Role – Consultant BY Shelene Giles, CEO FIG Education The Consultant Life Care Planner may be asked to develop a fragmented version of the Life Care Plan, often referred to as a Medical Cost Projection. This Medical Cost Projection outlines the estimated future medical care needs and associated costs. Typically, the purpose is to provide a quick analysis of the injury and best estimation of the costs for the future medical care of the injured individual. Some important details must be discussed with the retaining party if they request a Medical Cost Projection in an effort to protect any future expert witness from a Daubert challenge. This will be discussed in greater detail throughout this lessons and upcoming lessons. The purpose of this type of retention is somewhat different in that the referral source may want to understand the injury, the treatment, and any potential confounding problems with the case before he or she decides to take on the case. The insurance adjuster may ask for the Medical Cost Projection to set reserves, adjust reserves in a special needs trust, or may have an upcoming mediation or settlement conference scheduled. If there is a mediation scheduled, the insurance adjuster, plaintiff attorney, or defense attorney may request a summary of the medical records to outline the damages and an estimated cost of future medical care that can be used to settle the case. In this case, a Life Care Planner expert witness may not have been designated by either the plaintiff or the defense side. The retaining attorney hires a Life Care Planner as a consultant to have a better understanding of the cost of the medical needs that can be included in the mediation settlement negotiations. #nurses #ot #pt #md #casemanagement #legalnurseconsultant

FUN FRIDAY Referral – Role – Consultant BY Shelene Giles, CEO FIG Education The Consultant Life Care Planner may be asked to develop a fragmented version of the Life Care Plan, often referred to as a Medical Cost Projection. This Medical Cost Projection outlines the estimated future medical care needs and associated costs. Typically, the purpose is to provide a quick analysis of the injury and best estimation of the costs for the future medical care of the injured individual. Some important details must be discussed with the retaining party if they request a Medical Cost Projection in an effort to protect any future expert witness from a Daubert challenge. This will be discussed in greater detail throughout this lessons and upcoming lessons. The purpose of this type of retention is somewhat different in that the referral source may want to understand the injury, the treatment, and any potential confounding problems with the case before he or she decides to take on the case. The insurance adjuster may ask for the Medical Cost Projection to set reserves, adjust reserves in a special needs trust, or may have an upcoming mediation or settlement conference scheduled. If there is a mediation scheduled, the insurance adjuster, plaintiff attorney, or defense attorney may request a summary of the medical records to outline the damages and an estimated cost of future medical care that can be used to settle the case. In this case, a Life Care Planner expert witness may not have been designated by either the plaintiff or the defense side. The retaining attorney hires a Life Care Planner as a consultant to have a better understanding of the cost of the medical needs that can be included in the mediation settlement negotiations. #nurses #ot #pt #md #casemanagement #legalnurseconsultant

It is a shame this esteemed psychiatrist Arthur Lazarus, MD, MBA has sworn off being an Expert Witness because of the abuse he received on the stand (and despite that the plaintiff prevailed). Abuse from an insurance company lawyer, who argued that sight-saving treatment for a patient was not deemed "medically necessary". Using a medical textbook as "evidence" of the SOC, which in most cases they are NOT. Fortunately, the judge saw through this tactic. It is just this type of ethical and forthright witness that is needed to end the scourge of insurance middlepersons practicing medicine (usually by algorithm and often without a license). We need MORE such courageous and ethical expert witnessing, and more adjudicated cases scrutinizing scurrilous coverage denials.

🔍 Understanding the Importance of Holding Professionals Accountable: Litigious Society - Developed Society Recently, a close relative of mine went through a challenging ordeal involving a dentist. The negligence displayed during a seemingly routine root canal and cap fitting procedure led to a series of complications, leaving my relative in distress for over two months. When I suggested exploring legal action against the dentist responsible for this ordeal, my relative hesitated to invest more time and resources in a legal suit. This hesitation got me thinking about a broader issue – the mindset around seeking justice and accountability in healthcare. It's crucial to realize that compromising our basic rights should never be the norm. We must hold professionals accountable for their actions, especially when their negligence affects the lives of patients. Only in a litigious society, where accountability is upheld, can true development flourish, and it's crucial that lawful justice is served to those who commit misdeeds to encourage excellence among working professionals. As a liability underwriter, There are some insightful research findings that shed light on the legal implications of medical and dental practices in India. I came across a study where 111 cases of judgments on dental malpractice in India were collected and analyzed. The results were eye-opening: 44 (39.63%) dentists were found guilty in these cases, often involving oral surgical procedures. The mean compensation awarded was INR 103,998 ± 158,976, underscoring the importance of accountability in dental practice. The Role of Professional Indemnity (PI) Insurance for Doctors: For doctors, having Professional Indemnity (PI) insurance is paramount. This insurance protects them from legal claims arising due to professional negligence. It not only safeguards their reputation but also ensures that they can continue to provide vital healthcare services without the fear of crippling financial liabilities. The Significance of Medical Policies: Medical policies play a crucial role in ensuring that patients receive the care they deserve. They outline the rights and responsibilities of both doctors and patients, creating a framework for ethical and legal practice in healthcare. Let's work together to build a society where patients are aware, their rights are protected, and justice is served. Together, we can make a positive change in our society. 💪🏥 #HealthcareAccountability #PIdoctors #PIHospital #ProfessionalIndemnity #TortLiability

🎉Celebrating Trelvis Randolph's 5-year Journey as a Partner at QPWB.   Trelvis' practice specializes in general liability litigation, encompassing diverse cases such as personal injury resulting from automobile accidents, slips and falls, negligent security, wrongful death, product liability, medical malpractice, malpractice in nursing homes and assisted living facilities, as well as addressing insurance coverage issues.   "To me, a part of ‘Different’ at QPWB means being able to reach your full potential with the support and encouragement of the place where you work. It is knowing that you work in a place that values and supports your ability to reach success, by whatever definition you give it. Success isn’t just confined to the work that you do at your job. It also applies to life outside of work as well, to the community. There is more to being a part of the community than just receiving what it gives you. To be a part of the community, we have to be able to work for the betterment of that society. I have made a commitment to make an impact for the betterment of the places where I work, live, and play.  Being able to make that commitment to give back to the community means a lot. I am happy to say that I work at a place that has been generous in allowing me to continue to give back to the communities in which we do business. When you work in a place that ‘gets it’, time seems to go by fast. The last five years have been the greatest and I look forward to many more."    Learn about Trelvis' practice here: https://lnkd.in/e7fk-Wgz   Ready to Discover the Difference at QPWB? We're hiring nationwide, apply today: https://lnkd.in/eJpE3Ei7   #QPWBattorney #QPWBdifferent #Attorney #Lawyer #AttorneyJobs #LawyerJobs #Hiring #HiringAndPromotion #JobOpening #JobAlert #AssistedLivingFacilities #CivilLitigation #AutomotiveLiability #GeneralLitigation #HospitalsAcuteCareFacilities #InsuranceAndInsurers #MedicalMalpracticeDefense #NursingHomes #PremisesLiability #ProfessionalMalpracticeDefense

Avoid Adding Catastrophic Insult to Catastrophic Injury Life care planning is the process of developing a comprehensive plan for the long-term medical, psychological, and financial needs of a person who has sustained a catastrophic injury or chronic illness. In the context of a lawsuit, a life care plan can be used to document the plaintiff’s future medical expenses and lost earnings. The life care plan should be clear and concise, and it should be written in a way that is easy for the judge or jury to understand. The plan should also be specific and should include detailed information about the plaintiff’s future medical, psychological, and financial needs. Even experienced Legal Nurse Consultants (LNCs) can make mistakes when writing a life care plan for a lawsuit. Here are some of the most common mistakes: Failing to obtain all relevant medical records. The LNC must have a complete understanding of the plaintiff’s medical history in order to develop an accurate life care plan. This includes obtaining all relevant medical records, such as hospital records, doctor’s notes, and imaging studies. Not using evidence-based practice. The LNC should base the life care plan on the latest medical research and evidence-based practice guidelines. This means using the most up-to-date information available to make recommendations about the plaintiff’s future care needs. Making unrealistic or speculative estimates. The NLCP should not make unrealistic or speculative estimates about the plaintiff’s future medical expenses or lost earnings. These estimates should be based on the best available evidence and should be adjusted as new information becomes available. Not considering the plaintiff’s individual circumstances. Every case is different, and the NLCP must consider the plaintiff’s individual circumstances when developing the life care plan. This includes factors such as the plaintiff’s age, lifestyle, and goals. Not being objective. The NLCP must be objective when developing the life care plan and should not let their personal opinions or biases influence their recommendations. Do you write or review life care plans in your practice? Are there other mistakes we've missed? #lifecareplan #legalnurseconsultant #lawlife #catastrophicinjury #personalinjury #medicalmalpractice #review #assessment #lawlife #lifecareplan #insurance #liability #outcomes #damages lawsuits #lawsuit #lawyers #attorney #lawyer #personalinjury #attorneys #lawfirm #insurance #businessinsurance #legal #insurancebroker #insurancepremium #insuranceplans #insuranceproducts #propertydamage #insurancebrokers #knowyourcoverage #meritinsurancebrokers #homeownersinsurance #homeinsurance #generalliability #contractors #commercialbuildingproperty #litigation #commercialauto #beprepared #autoinsurance #law #smallbiz

As one of the Top IME providers in this industry Ensuring Fairness and Accuracy in Medical Evaluations, I've seen the impact of independent medical evaluations on legal cases, insurance claims, and workers' compensation claims. That's why I'm excited to promote our Independent Medical Evaluation (IME) services! Our IME services provide: - Unbiased, evidence-based medical assessments - Expert opinions from board-certified physicians - Comprehensive reports to support informed decisions. Our team ensures that all evaluations are conducted with the highest level of integrity, objectivity, and expertise. By choosing our IME services, you can trust that you'll receive: - Fair and accurate assessments - Reduced costs, and time-enhanced claim outcomes Whether you're an insurance adjuster, attorney, or HR professional, our IME services can help you make informed decisions with confidence. Reach out to me to learn more about how our IME services can support your needs! #IndependentMedicalEvaluations #MedicalAssessments #FairnessAndAccuracy Direct IME

🤔We often get asked, “Does a settlement offer from the at-fault driver’s insurance company include the amount of my medical bills, or is that a separate settlement?” The answer is that any settlement between you and the at-fault driver’s insurance carrier is a resolution of ALL your claims, including your claims for for medical bills (past and future), lost wages, pain and suffering, physical impairment and disfigurement, and more. ☑️ This is why it is SO important to understand the full extent of your injuries BEFORE negotiating a settlement with the insurance carrier. There are many different ways to prove your claims, and you’ll want to make sure you hire a lawyer who specializes in your specific type of case. Questions about how we prove past and future medical bills in a #personalinjury case? Call or text us for a free #CaseReview. (720)772-8513 [email protected] @hagennares HNTrialLaw.com . . . #PersonalInjuryLaw #TruckWreckLawyer #COInjuryAttorney #Colorado #Law #lawyersoflinkedin #MichiganLawyer