Catastrophic injuries such as those sustained due to burns, falls from heights, auto accidents involving 18-wheelers may lead to injuries that are so severe that the individual requires life-long medical care. The resultant disability may have someone stuck in bed for years due to paralysis, or an inability to go back to work due to health complications and chronic illnesses that come shortly after the accident due to, for example, diminishing kidney function on account of the fall, or scarring in the lungs which then makes it almost impossible for an individual to breathe on their own.

Catastrophic injuries are never spontaneous, and more often than not, human action or lack thereof is what causes them, and the negligence tied to these events can form the foundation of a personal injury lawsuit whose prerequisite include demonstrating causation as well as other factors prior to compensation.

However, one of the overlooked factors of catastrophic injury lawsuits lies in proving a concept known as “medical necessity”. This is a prerequisite for coverage by insurance providers, as well as something one must substantiate when they bring forth a claim in court. Medical necessity is a contentious concept, and insurance companies often misuse it to deny claims or whittle them down. The onus lies upon the claimant to prove that a proposed level of care is not only beneficial, but also essential when it comes to maintaining a certain quality of life.

Catastrophic injury claims must feature detailed documentation, and this is not something we would advise anyone to try to attempt on their own. Timely legal representation is required when it comes to these claims as well as proving medical necessity, and this is something we would love to assist you and your loved one with as you fight for the right to receive appropriate compensation for life-long care.

Get The Best Legal Help in Chicago

Are you looking for the best catastrophic injuries lawsuit attorney? Please call us NOW at (314) 481-63338 to learn more about your legal options for justice and compensation. The experienced catastrophic injuries lawyers at McCready bring to the table over 90 YEARS of combined legal experience where we’ve represented tens of thousands of injured Americans across the country and from all walks of life, helping them recover compensation after becoming victims of injury brought on due to the negligence of other individuals or corporations. Over the years, we’ve been able to recover over $260 million in compensation for our clients, and become a well-known litigation firm that not only cares about its clients, but one that is not afraid of taking claims to court in order to recover maximum judgments for our clients as allowed by the law.

Our lawyers will closely work with you to create a compelling injury claim, referring you to top medical experts as well as preserving crucial evidence in order to prove that you deserve compensation needed for long-term care as evidenced by your injuries. By contrast, most law firms simply engage with the insurance company and settle for paltry amounts which are usually insufficient for the claimant who may need ongoing medical procedures, at-home care or rehabilitation, all of which can be costly.

In addition to having nationwide reach thanks to our vast network of referral attorneys and law firms, we also run a bilingual firm (hablamos Español), and we take all valid claims on contingency fee basis, which simply means that there are ZERO UPFRONT FEES for the duration of the processing of your claim, as we only levy our fees at the end of the suit, and only if we’ve recovered compensation on your behalf. If you or a loved one suffered catastrophic injuries and is now looking at the potential to require long-term care, please give us a call NOW at (314) 481-63338 to learn more about your legal options for justice and compensation – our intake team is standing by.

Why Proving Medical Necessity is Vital in Catastrophic Injury Claims

Medical necessity is crucial when it comes to seeking compensation for catastrophic injuries, as it will set the tone for whether healthcare services will be covered by insurance. Insurance companies are very strict when it comes to determine what constitutes medically necessary services. Specifically, they require that the service must be clinical or address a medical condition or facilitate diagnosis and treatment, and that the provided care must be appropriate for the individual’s condition and not just a matter of convenience. Next, the service must be in line with accepted standards of medical practice.

Medical necessity comes into focus when it comes to litigating catastrophic injury claims due to a number of reasons. By bringing forth legal arguments that you or a loved one requires a service that will play into your long-term care needs will influence the payout amount the insurance company is willing to shell out, or the compensation amount you may be entitled to in a court judgment.

Catastrophic Injury Claims: What is Involved?

Let’s take a look at some of the various aspects of long-term care in catastrophic injury claims:

Physical Therapy

This is an absolute necessity following a catastrophic injury, especially for individuals who may have sustained leg or arm injuries. When proving that the plaintiff requires compensation for physical therapy, one must document the specific physical limitations they’ve developed, as well as how the physical therapy may help address or even gradually resolve these issues.

Occupational Therapy

This is distinct from physical therapy as it targets the skills needed for daily living and working. In particular, occupational therapy is needed for individuals who are unable to dress themselves, cook, or carry out work-related duties. In order to prove that OT is a medical necessity, you or your loved one must have a functional assessment carried out, have individual treatment plans written out, and if approved, must submit regular updates demonstrating either progress or setbacks as relates to the program.

Best Injury Attorneys for Catastrophic Injury Lawsuits – Call Us Today!

Catastrophic injuries are expensive to manage due to the need for long-term care. In addition, sophisticated insurance companies may try to offer you what may seem like a lucrative payout, but without the experience of how these injuries often evolve, you may find yourself cash-strapped and without any assistance or legal recourse later on, as you may be asked to sign a legal waiver making it impossible for you to sue later on.

To preserve your right to maximum compensation after a catastrophic injury, please give us a call NOW at (314) 481-63338 to speak with our best traumatic injury attorneys. Remember, the call is 100% FREE, and there is no legal obligation. Thanks for choosing us, and we look forward to helping you.