In-Person Evaluation vs. File Review

Reviewed by KW Life Care Planning Editorial Team · Last updated

In-Person Evaluation

The life care planner meets with the evaluee, typically in the home, to interview, observe function and the care environment, and confirm what the records describe.

Learn more about In-Person Evaluation

File Review

The planner works from the medical record, deposition testimony, and provider input alone, typically for a rebuttal or when access to the evaluee is not available.

DimensionIn-Person EvaluationFile Review
Data sourceRecords + interview + home and functional observationRecords, depositions, and provider correspondence only
DepthConfirms current function, equipment in use, caregiver burden, home barriersLimited to what the record documents
Cost and timeHigher; requires scheduling and travelLower; faster
Typical usePlaintiff-retained plans, catastrophic and pediatric casesDefense rebuttal, records-only file review, plan updates when the evaluee is unavailable

When to use In-Person Evaluation

Prefer in-person evaluation in catastrophic cases, where cognitive or behavioral factors matter, or where the defense has raised consistency concerns.

When to use File Review

File review is appropriate when the record is complete, when the engagement is a rebuttal of an opposing plan, or when direct access to the evaluee is not available (International Association of Rehabilitation Professionals, n.d.).

Where they overlap

The underlying methodology is the same: records review, treating-team input, published clinical guidance, and documented cost research. The in-person evaluation adds direct observation of function, the home, and the care actually being provided, which is often where a records-only plan and the lived situation diverge.

Frequently Asked Questions

Will courts give less weight to a file-review opinion?

Depends on the case. Comprehensive file-review opinions are frequently admitted when the record is complete and the methodology is documented (Fed. R. Evid. 702; Daubert v. Merrell Dow Pharmaceuticals, Inc., 1993).

References

Discuss how this applies to your case

KW Life Care Planning provides independent, objective life care planning analysis for plaintiff and defense counsel nationwide. Tell us about the matter and we will scope the appropriate deliverable, or explore the relevant practice area below.

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