Life care plan review
Physician review of pediatric life care plans for medical accuracy
Pediatric life care plans project decades of surgeries, therapies, equipment, and caregiving. PMLP physicians review those projections line by line for medical accuracy and pediatric fit, with particular depth in surgical and anesthesia costing. PMLP physicians are not certified life care planners; the review addresses the medical foundation of the plan.
Life care plan review
What every line item should show
- Medical foundation: who recommended it and where it is supported in the record
- Medical necessity and fit with the child's clinical and developmental picture
- Frequency and duration
- A verifiable cost source with geographic adjustment
- Correct arithmetic over the projected duration
Life care plan review
Future surgery as a complete episode
- Pre-operative evaluation that is patient- and procedure-specific, not routine testing for every child
- Surgeon and assistant surgeon
- Anesthesia
- Facility fee at the right setting
- Implants counted once: not missing, not doubled
- Post-operative care, without billing visits that fall inside the global surgical period
- Growth-related revisions and repeat procedures over time
Life care plan review
Anesthesia costing, reviewed by a pediatric anesthesiologist
- Base units appropriate to the procedure
- Realistic anesthesia time for the procedure and the child's age
- Physical status assignment supported by the record
- Anesthesia not added where it is bundled or not used
- Sedation versus general anesthesia, and the care setting
Life care plan review
Other common problems we check
- Caregiving level based on functional need rather than diagnosis, and age-appropriate for a child
- Agency versus private-hire, live-in versus shift, respite and replacement care
- Duplication across facility rates, caregiving, supplies, and medications
- Medication supplies converted correctly from 30-day to annual and lifetime cost
- Items outside the injury at issue or attributable to pre-existing conditions
- Citations and cost sources that cannot be verified
Life care plan review
Specialties involved
Pediatric anesthesiology for surgical episodes, anesthesia, and pre-operative care; pediatric PM&R for rehabilitation, therapy, equipment, and long-term function.
Life care plan review
Deliverables
A physician's item-by-item findings for counsel, and written opinions where appropriate, prepared with every source personally verified.
Life care plan review
Related reading
What counsel should clarify before commissioning a pediatric life care plan
Next step
Start with a general inquiry, not a records transfer.
Describe the matter in general terms, the pediatric issue involved, the specialty you think you need, and your timeline. We check conflicts and fit before anything substantive is exchanged.