| Direct Services Financial - Receive, deposit and account for client receipts.
- Ensure expected revenues are received.
- Make appropriate disbursements.
- Submit claims to insurance companies.
- Confirm accuracy of provider bills and appropriate reimbursements.
- Protect the elderly by controlling checkbook and other assets.
- Provide income tax planning and return preparation.
- Provide gift tax return preparation.
- Prepare employment tax returns for caregivers and other household help.
Nonfinancial - Arrange for transportation, housekeeping and other services.
- Manage real estate and other property.
- Visit and report on elderly on behalf of children in distant locations.
Assurance Services Financial - Review and report on financial transactions.
- Test for asserters’ adherence to established criteria.
- Review investments and trust activity.
- Audit third-party calculations, such as pension, insurance and annuity payouts.
- Review reports from fiduciaries.
Nonfinancial - Measure and report on care provider performance against established goals.
- Evaluate and report on the performance of other outside parties, such as contractors.
Consulting Services Financial
ElderCare planning for - Housing and support service needs.
- Declining competency.
- Death or disability of one or both spouses.
- Alternative costs of retirement communities and other housing.
- Housing and care alternatives.
- Services available in the community.
- Estate planning.
Fiduciary planning for - Financial power of attorney.
- Health care power of attorney.
- Guardianship.
- Trusteeship.
- Living wills.
- Advanced medical directives.
Evaluation of health care financing options for - Medicare and Medicaid.
- LTC insurance.
- Medigap insurance.
- HMOs.
- Annuities.
- Viatical insurance settlements.
- Reverse mortgages.
- Sale/leaseback of home.
- Flexible spending accounts.
Nonfinancial Family facilitation - Mediate/arbitrate family disputes.
- Provide objectivity for highly emotional issues.
- Act as a “go-between” between parent and child.
Coordination of support and health care services - Lead a team of health care, legal and other professionals.
Other consulting services - Help family monitor care.
- Establish standards of care expected.
- Communicate expectations to care providers.
- Establish performance measurement systems.
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