Defense Services
Medical-Legal Review that Identifies Sound Conclusions and Supports Reasonable Settlements
Defense requires objective analysis that identifies accurate information and supports reasonable settlement positions. Roughan & Associates billing analyses, life care plan critiques and rebuttal life care plans carry weight because the same methodology applies to both sides—a balanced approach that strengthens credibility with Arbitrators/Mediators, Judges, and opposing counsel.
Why Defense Attorneys Choose Us
Objective Analysis for Informed Defense Strategy
Defense attorneys and claims professionals rely on Roughan & Associates for credible, defensible case analysis that identifies overstatement, clarifies medical necessity, and supports reasonable settlement positions. The firm's work for plaintiff counsel demonstrates commitment to a balanced methodology—enhancing credibility on defense matters. Whether critiquing opposing experts’ life care plans or preparing expert testimony, the team provides strategic intelligence and credible conclusions.
Credible Methodology
Work for plaintiff counsel maintains neutral methodology and this reputation makes conclusions persuasive to Arbitrators/Mediators, Judges, and Juries

Institutional Knowledge
Decades of case precedent provide perspective on treatment patterns, medical coding and costing and a credible depiction of needs across injury types

Coding & Costing Precision
Team expertise in medical coding and fee schedules ensures accurate cost analysis and prevailing amounts

Responsive Service
Appreciating timelines means working efficiently to provide rapid turnaround projections for mediation/settlement conferences, and/or arbitration/trial preparation
How Roughan & Associates Supports Defense Counsel
Roughan & Associates professionals consult with referring attorneys to discuss case elements and assist with determining appropriate courses of action. Critical gaps, reporting omissions, and improperly determined care needs are identified and described in respect to standard of care.
Reasonable Care & Cost Projections
Rebuttal life care plans identify gaps in medical justification, improper coding, and inaccurate costs—documenting reasonable and necessary future care based on standard treatment protocols and industry-prevalent cost sources
Analyze Past Expense Claims
Billing analysis using federally mandated databases determines whether charges were usual, customary, and reasonable for the geographic locale—identifying cost outliers that support Appellate Court decisions
Evaluate Claimed Needs
Institutional knowledge of treatment patterns, care protocols, and outcome expectations provides the foundation for distinguishing appropriate anticipated care needs—strengthening settlement strategy
Credible Defense Testimony
Expert testimony explaining standard medical practices and reasonable cost projections, combined with demonstrative evidence, provides the credible foundation defense presentations demand—strengthened by neutral reputation built through plaintiff work
Testimonials
Trusted By Both Leading Plaintiff and Defense Counsel Alike
Roughan & Associates are consummate professionals. Roughan & Associates work is credible and supportable. They are adept at substantiating their opinions on the witness stand.
Al Peacock, Esq.
Attorney
Roughan & Associates commitment and expertise is unparalleled; they facilitate the best recovery for our clients.
Brian J. Panish, Esq.
Attorney
A case is only as good as those individuals presenting the facts to the jury. Roughan & Associates expertise, qualifications and input are invaluable and irreplaceable.
Paul Fine, Esq.
Attorney
Roughan & Associates are the best Life Care Planning Experts; and I only retain the best!
Gary A. Dordick, Esq.
Attorney
Roughan & Associates are gifted experts at both constructing a life care plan and presenting the plan in a clear and effective manner.
Thomas C. Sanford,
Attorney
Roughan & Associates are simply the best. Whether an abbreviated plan for mediation or a full-blown plan at trial, the quality of their work shines through and increases the value of every case they handle.
Olivier Taillieu
Attorney
Roughan & Associates skillful focus and sophisticated analyses are unmatched in their field. The professionalism, veracity, and ease in the witness chair equates to polished life care testimony and opinions that are easily digestible for a trier of fact.
Brooke Washburn
Attorney
Roughan & Associates are great Life Care Planners with thorough knowledge of medicine. They are adept at identifying needed care and facile at obtaining comprehensive options on future care from treaters and experts.
Eustace de Saint Phalle
Attorney
Counsel can confidently rely on Roughan & Associates and their attentive staff, who thoroughly familiarize themselves with Plaintiff’s medical records and related evidence to prepare a well-documented life care plan, that critically and persuasively dissects any exaggerated damages.
James J. Rij, Esq.
Attorney
At settlement conference/mediation or trial, Roughan & Associates Life Care Planners are exceptional in their ability to get the job done.
Arash Homampour, Esq.
Attorney
Roughan & Associates expertise in the litigation arena provides the “pinpoint analysis” necessary in the area of Life Care Planning that has allowed my office to take a stance on defense of issues; and to proactively structure settlements that have benefited resolution of cases.
F.X. Sean O’Doherty, Esq.
Attorney
Roughan & Associates is an indispensable part of our team and is key to our success at trial. They do not miss a single detail, ensuring every need is considered, necessary doctors consulted and every treatment, modality considered.
Deborah Chang, Esq.
Attorney
Roughan & Associates Life Care Plans for mediation or trial are thorough and supported by the medical records and medical specialists. From chronic pain to catastrophic injuries, Roughan & Associates are my go-to Life Care Planners.
Colin Jones, Esq.
Attorney
Thanks to the Roughan & Associates team and all their hard work! We are so proud to have obtained the largest jury verdict ever on an excessive force case, $100,000,000.00! Without any question, the Life Care Plan totaling over $170,000,000.00 played a pivotal role in our success. Thank you again!
Ven Johnson
Attorney
Tested Expertise & Strategic Advantage
Roughan & Associates has reviewed multiple life care plans and testified on reasonable versus inaccurate care and cost projections across national and international jurisdictions. That institutional knowledge provides the perspective to evaluate claims accurately and provide the key information to support settlement. When Roughan & Associates is involved, the damages portion of the case becomes more realistic.