Medical Cost Projections & Medical Bill Audits

Targeted analysis of future and past medical costs, for cases that need answers before a full life care plan is warranted

Not every case needs a full life care plan, and not every case can wait for one. Our medical cost projections and medical bill audits give counsel and claims professionals a focused, documented analysis of medical damages. Both are prepared by the same credentialed experts who write our life care plans and are built on a consistent, generally accepted costing methodology.

Medical Cost Projections

A medical cost projection generally addresses a defined set of anticipated medical services based principally on the records and cost information available for the assignment. A life care plan generally involves a broader assessment that may include an interview or evaluation, consultation with providers when appropriate and possible, and analysis of long-term care needs. The precise scope of either service is defined by the referral questions and available foundation.

When to use one

  • Early settlement and mediation: A documented future-care figure before treatment has stabilized.
  • Targeted damages: When the dispute centers on a specific procedure, surgery, or treatment course rather than lifetime care.
  • A starting point: If the case later calls for comprehensive planning, the projection can serve as the foundation for a full life care plan.

What’s included: Each projection identifies the future-care items included within the defined scope of the assignment, together with the frequency, duration, and current cost assumptions used. The projection states the medical information and cost sources relied upon and identifies material limitations or recommendations that could not be reliably priced.

Medical Cost Projection vs. Life Care Plan

Medical Cost Projection Life Care Plan
Timing During active treatment After treatment stabilizes
Basis Medical record review and cost research Record review, evaluee interview, physician conferences, cost research
Scope A specific condition or course of treatment All future care needs over the person’s lifetime
Best for Early evaluation, settlement, reserves Litigation, trial testimony, comprehensive planning

Medical Bill Audits

A medical bill audit reviews the past medical charges claimed in a case and tests whether they are accurate, related, and reasonable. Past medical expenses are often presented as a single total. An audit breaks that total down so counsel can see what holds up and what doesn’t.

What we review

  • Billing accuracy: Duplicate charges, billing errors, and coding issues such as unbundled or upcoded procedures.
  • Relatedness: Charges for treatment that appear unrelated to the injury at issue, flagged for counsel and medical review.
  • Reasonableness: Billed charges compared with prevailing rates for the same services in the same geographic area.

What you receive: A line-item audit of the charges with a summary of total billed, adjusted, and disputed amounts, and the basis for each adjustment. It is prepared by a credentialed expert who can testify to the findings.

Trusted by Litigation Teams on Both Sides of the Docket

We work alongside plaintiff and defense counsel in federal and state courts across the country.

View All Testimonials

Wonderful experience with both the expert and staff. Ms. Peralta’s reports have repeatedly provided my clients powerful support in their cases, particularly at the point of mediation. I’d be surprised to learn if any attorney in my office wasn’t already at least occasionally retaining you guys!

Our thanks to you, Ms. Peralta, and everyone else involved for your invaluable assistance, and we look forward to working with you all again in the future. Best regards.

Trusted Client

On behalf of our client and our team, a special thanks to you and Dr. Wolfson for your time, preparation, and assistance throughout this case. Your work was greatly appreciated.

I look forward to working together again soon.

Trusted Client

We are thrilled with the services provided by Stokes & Associates, especially the work of Todd Capielano and his staff. We highly recommend their team and trust only Stokes & Associates with the needs of our clients for life care planning.

Dewayne Burrell, The Burrell Firm

Trusted Client

Dr. Lastrapes, I’m so excited by how quickly you all are moving this along. It’s a breath of fresh air and very much appreciated.

Trusted Client

The lawyers at my firm and I have enjoyed working with Stokes & Associates on continuation of care projections in our cases. Clayton and his team provide outstanding support, in a timely manner, and at a fair price. Their life care plans are thorough, well-documented, and easy to understand, making them a valuable asset in presenting long-term needs clearly and effectively. They are responsive, professional, and knowledgeable. If you haven’t had the opportunity to work on a project with Clayton, I recommend you give him a shot.

Trusted Client

Mrs. Brandy Bradley, we recently settled this particular case. Thanks for all of your excellent work and assistance.

Trusted Client

I contacted Clayton to do a life care plan on a complex case with major long-term impairments. Clayton and his team quickly jumped on board by scheduling a meeting with me, reviewing all the records I provided, and directly contacting all necessary healthcare providers. Clayton took care of everything for me behind the scenes while also keeping me fully apprised with his progress. Towards the end, he gave me a preview of the expected results to make sure they aligned with the evidentiary standards I needed to satisfy. He also recognized the need for an additional report on future lost wages and recommended a colleague at Stokes who could create that. The final product was fantastic and added significant value to my case. I would hire Clayton again in a heartbeat and would recommend the same to anyone else.

Trusted Client

Thanks for all your assistance in getting these reports done on short notice!

I will recommend your services around our office, and I’ll be in touch in the future.

Trusted Client

I was blown away by the report and will definitely engage Dr. Wolfson on my next case needing a life care planner. I look forward to working with you again in the future!

Trusted Client

Dr. Lastrapes, your report was a huge part of my negotiation, so thank you so much! It has been great working with you.

Trusted Client

Ms. Bradley, thank you for your help! You were fantastic! I will definitely keep you in mind for future cases.

Trusted Client

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