Discussion: View Thread

  • 1.  "Limited" LCP

    Posted 04-08-2016 17:23

    Hello all,

    I'm interested in the ethics of only addressing some of the typical components of a LCP.

    An attorney contacted me with a case that has a limited award ceiling.  With existing medical bills some of that is already used, so the attorney wants a LCP that will only address consumables and non-medical services.  

    Specifically items such as:  

    Wheelchair needs
    Wheelchair accessories and maintenance
    Home furnishings and accessories
    Aids for independent function
    Supply needs
    Home care or facility-based care needs
    Transportation needs
    Architectural renovations

    Any ethical problems with this?

    Thanks in advance and have a great weekend ~ Todd

    ------------------------------
    Todd Harden, MA, CRC, LPC, CLCP
    Vocational Expert, Certified Life Care Planner, Forensic Vocational Consultant
    todd@hardenconsulting.net
    Burleson, Texas
    ------------------------------


  • 2.  RE: "Limited" LCP

    Posted 04-08-2016 17:56

    First, I would not call it a life care plan. Second, I would include an explanation of what was requested to explain the future cost projections. With those 2 steps I would move forward and get it done 

    ------------------------------
    Susan Wirt
    Case Manager/Life Care Planner
    susan@wirtandassociates.com
    Catawba, VA United States



  • 3.  RE: "Limited" LCP

    Posted 04-08-2016 17:59
    I had a similar situation with a very severe injury and low policy limits. I had concerns about my own ethics continuing to work on a life care plan that would not be able to be fully funded and knowing every hour I worked would take away from the ultimate settlement for the injured person.

    I discussed this with the attorney who was very grateful for my concerns.  I ended up placing all of the items in the life care plan that were necessary but not pricing all of them. In the comments section I wrote something like, "cost information will be obtained upon request". The life care plan is then available for the injured person or caregivers to use as a road map for care.

    I see nothing unethical about the request. You could call it a preliminary life care plan and explain in your narrative that all costs for the life care plan were not obtained but will be if requested. I would talk it through with the attorney.
    Nancy Mitchell
     
    Electronic Disclosure Statement:  This e-mail is not encrypted.  If you
    are communicating about a client, please do NOT place the person's name
    or personal information in the e-mail or subject line but use
    non-descriptive identifiers since this is an unsecured form of
    communication. Any communication regarding a client is considered work product and
    will become part of the file. If you have received this e-mail in error,
    please notify me immediately and remove the information from all
    electronic and hard copy sources. Storing, printing, or disseminating
    this e-mail to other parties is prohibited unless authorized by the sender.
    Nancy Mitchell MA, OTR/L, CLCP, FIALCP
    Mitchell Disability Assessments & Life Care Planning
    4574 137th Street West
    Apple Valley, MN 55124
    952-423-5766





  • 4.  RE: "Limited" LCP

    Posted 04-08-2016 18:11

    You may do this, but do not call it a life care plan because it does not meet all the criteria for standards of practice.

    Many life care planners do this type of work product and call it something else.

    At my company, we call it "Future Care Cost Projections"; under this kind of heading you can do whatever abbreviated version you wish.

    FYI, at the Summit 2012 this was discussed and the consensus was that it is OK to do but we will not, as a field, formally give this type of work product a universal name or create separate standards/rules for "less than" products.

    ------------------------------
    Karen Preston, PHN, MS, CRRN, FIALCP
    Consultant
    RNSconsult@aol.com
    Sacramento, CA United States
    (916) 929-6506



  • 5.  RE: "Limited" LCP

    Posted 04-08-2016 18:16

    I call them focused expense analysis

     

    Rebecca Mendoza Saltiel Busch,

    RN, MBA, CCM, CFE, CPC, CHS-IV, CRMA, CICA, FIALCP, FHFMA

    CEO, Medical Business Associates MBE* WBE* WOSB* Certified Firm

    580 Oakmont Lane * Westmont IL 60559
    630.789.9000 ex.5011 * fax 630.789.9009

    Twitter: @HealthCareFraud

     

    Author: "Leveraging Data in Healthcare: Best Practices for Controlling, Analyzing, and Using Data" release December 2015; "Healthcare Fraud Audit & Detection Guide" 2nd Edition 2012 "Electronic Healthcare Records An Audit & Internal Control Guide" "Personal Healthcare Portfolio" 2010

    Instructor: FAU Healthcare Fraud Examination, Risk Management, and Compliance

    http://business.fau.edu/departments/accounting/cert-healthcare-fraud-examination-compliance/index.aspx

    Medical Auditor * www.mbaaudit.com *

    image001.png@01CEC024.6EB144F0

    We deliver the FACTS

    Fraud (prevention & detection)+Audit+Consulting+Training Services

     

    This communication, including attachments, is for the exclusive use of addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any use, copying, disclosure, dissemination or distribution is strictly prohibited. If you are not the intended recipient, please notify the sender immediately by return mail and delete this communication and destroy all copies.

     






  • 6.  RE: "Limited" LCP

    Posted 04-08-2016 18:15

    I would not call it a Life Care Plan as it does not meet all of the criteria for standards of practice; you could do this with a title such of Cost of Services Report or something along those lines 

     

    Kathleen B. Murphy RN, MSN, CRRN, FIALCP

    Rehabilitation Consultant

     

    Nursing Consultation Services, Ltd

    Suite D-1

    1000 Germantown Pike

    Plymouth Meeting, PA 19462

    610-279-1122

    610-279-1136 (F)

    www.nursingconsultation.com






  • 7.  RE: "Limited" LCP

    Posted 04-11-2016 12:39

    Thanks everyone for the great ideas and expert advice.

    Have a great day ~ Todd

    ------------------------------
    Todd Harden, MA, CRC, LPC, CLCP
    Vocational Expert, Certified Life Care Planner, Forensic Vocational Consultant
    todd@hardenconsulting.net
    Burleson, Texas