Medical and Life Care Consulting Services, Inc.

11/21/2025

Equip your team with actionable knowledge on life care planning and vocational expertise—all while enjoying lunch on us.

In our free, interactive Lunch & Learn sessions, your team will:
✅ Understand life care plans and long-term patient needs
✅ Explore vocational evaluations and their impact on case strategy
✅ Gain insights from nationally experienced experts Cynthia Bourbeau, RN, CRRN, CCM, CNLCP®, CHLCP™ and Kerry A. Skillin, CRC, CVE, ABVE/D
✅ Ask questions and discuss real-world scenarios

These sessions are tailored to legal, claims, and rehabilitation professionals, offering practical, real-world strategies to streamline case evaluation and improve outcomes.

🎯 Free, interactive, and lunch included!

Reserve your spot today and empower your team with knowledge that makes a difference.
https://medicalandlifecare.com/lunch-and-learns/

Secure your team’s spot at our free Lunch & Learn and get actionable expertise on life care planning and vocational evaluations—lunch included!

11/20/2025

Cost projections shape the strategy and financial outcome of every high-value legal case.

When the numbers are inaccurate or weakly supported, credibility suffers and negotiation leverage declines.

When executed correctly, costing becomes a powerful tool that withstands scrutiny in mediation, deposition, and trial.

Our on-demand webinar, Costing for Legal Cases: How Experts Build Defensible Numbers, provides a clear, practical breakdown of how strong cost projections are created using proven methodology, jurisdiction-aligned data sources, and real case applications.

Participants learn how experts validate recommendations, avoid common errors, anticipate challenges from opposing counsel, and apply costing strategically throughout the life of a case.

Presented by April Pettengill, RN, CRRN, CDMS, CNLCP®, MSCC, CBIS, and Cheryl Wunsch, MHSM, BSN, RN, CPC, CNLCP, this training is ideal for attorneys, adjusters, and legal nurse consultants who want to strengthen their approach to future medical costs and long-term financial exposure.

Unlock the webinar and watch at your convenience:

Access the Costing for Legal Cases webinar. Learn how defensible cost projections are built, what sources experts use, and common costing mistakes to avoid.

11/19/2025

Happening Today: PTSD, Trauma Response & Recovery Training

Participants will receive a certificate of completion and earn 1 hour of continuing education credit.

We go live today with a powerful session focused on PTSD, trauma response, and recovery.
Dr. Tabatha Maiorano will walk through EMDR methods, trauma-informed therapeutic strategies, and our approach to Critical Incident Stress Management during acute crises.

This training is essential for claims professionals, attorneys, nurse case managers, care coordinators, and anyone supporting individuals with trauma or TBI.

Final hours to register.

Save your spot:

Join Dr. Tabitha Maiorano on Nov 19, 2025, to explore EMDR and CISM for stress disorder and PTSD recovery.

11/18/2025

Meet April Pettengill, RN, CRRN, CDMS, CNLCP®, MSCC, CBIS
Director of Medico-Legal Services at Medical and Life Care Consulting

With more than 30 years of nursing experience, April brings exceptional depth to complex injury cases and medico-legal consulting. Her clinical background spans catastrophic case management, rehabilitation nursing, pediatric high-tech care, and hands-on experience with cancer, spinal cord injuries, stroke, brain injuries, COPD, CHF, ALS, MS, and other progressive neurological disorders.

April is a Certified Nurse Life Care Planner, a Certified Disability Management Specialist, a Certified Rehabilitation Registered Nurse, a Certified Medicare Set-Aside Allocator, a Certified Brain Injury Specialist, and a Certified Professional Biller. She has served in key professional roles within AANLCP and has extensive experience with life care plans, medical cost projections, bill reviews, depositions, and trial testimony.

Her leadership strengthens the accuracy, defensibility, and clarity of every case MLCC supports.

Learn more about April:

April Pettengill has over 30 years nursing experience that has included caring for the ill and injured across the continuum of life.

11/14/2025

Trauma impacts families, workplaces, and entire communities. Understanding how to support individuals through recovery requires clinical skill, compassion, and a trauma-informed approach.

Join us for an expert session with Dr. Tabatha Maiorano, who will share practical insight from her work with first responders, veterans, and trauma survivors. You will learn how EMDR therapy, trauma-informed care techniques, and structured Critical Incident Stress Management (CISM) protocols can guide individuals toward stability, resilience, and long-term recovery.

Reserve your seat today.
Register now ➜

Join Dr. Tabitha Maiorano on Nov 19, 2025, to explore EMDR and CISM for stress disorder and PTSD recovery.

11/13/2025

💼 When recovery becomes complex, expert guidance can determine the difference between progress and prolonged challenges. At Medical & Life Care Consulting, our certified nurse case managers and rehabilitation specialists provide the structure, clarity, and support individuals need throughout their recovery journey.

🩺 Serving the Northeast, including Massachusetts, Connecticut, New York, Rhode Island, New Hampshire, Vermont, and Maine, we offer case management for workers’ compensation, disability, and private care. Our team is trained to manage both routine and catastrophic injuries with precision and clinical expertise.

👉 Learn more about how our case management services strengthen outcomes for injured individuals and the professionals who support them:

Discover comprehensive case management services tailored to meet individual needs, ensuring optimal patient outcomes and satisfaction.

11/07/2025

Excessive or unnecessary durable medical equipment can inflate costs, complicate recovery, and slow return-to-work.

Every DME recommendation we make is carefully evaluated through both clinical and vocational lenses. Our goal is simple: ensure each device is truly necessary, used appropriately, and supports the claimant’s functional independence.

Key considerations include:

- Evaluate Clinical Necessity
- Monitor Real-World Usage
- Determine Frequency of Replacement
- Incorporate Vocational Perspective
- Avoid inflated reserves and unexpected costs.

Get the full breakdown and actionable insights in our free infographic.

DME Recommendations Gone Wild

11/06/2025

💼 Strengthen Your Case with Trusted Medico-Legal Experts https://medicalandlifecare.com/find-an-expert/

When complex cases demand accuracy, insight, and defensible guidance, our team of certified nurse consultants and expert witnesses brings decades of combined experience to support both plaintiff and defense teams.

Our experts specialize in a wide range of injuries, including:

- Birth injuries
- Spinal cord injuries
- Work-related injuries
- Traumatic brain injuries and more

Why work with our team:

- Over 200 years of combined experience in nursing, rehabilitation, and life care planning
- Professional certifications including Legal Nurse Consulting, Nurse Life Care Planning, and Medicare Set-Asides
- Plaintiff and defense expertise for comprehensive, balanced insights

From nursing expertise to vocational and medical expert witnesses, our professionals help you navigate complex claims with confidence.

📌 Find the right expert for your case today:
https://medicalandlifecare.com/find-an-expert/

11/05/2025

🔍 Learn Directly from Two Nationally Recognized Medico-Legal Experts

This on-demand webinar is led by April Pettengill, RN, CRRN, CDMS, CNLCP®, MSCC, CBIS — a nationally recognized life care planner with 30+ years of catastrophic case experience — and Cheryl Wunsch, MHSM, BSN, RN, CPC, CNLCP, a forensic nurse expert with deep experience in cost defensibility, utilization review, and medical financial risk.

Together, they reveal how true experts determine, validate, and defend medical cost projections that hold strong under cross-examination and during negotiation.

🎯 Their process goes far beyond typical “medical estimates.”
You will see exactly what separates a defensible cost projection from a vulnerable one.

👉 Access the expert replay now: https://medicalandlifecare.com/costing-for-legal-cases/

11/03/2025

Closing the File Doesn’t Mean Closing the Door on Risk

Just because a claim is closed doesn’t mean the risk is gone.
Without comprehensive medical roadmap’s, files can reopen and cost even more the second time around.

Here’s what helps protect your file after closure:

✅ Life Care Plans – Detailed projections for ongoing medical needs
✅ Medicare Set-Asides (MSAs) – Ensure compliance, avoid CMS penalties
✅ Future Risk Audits – Identify unmet needs, prevent bad faith claims

📉 Reopened claims, compliance issues, and unexpected liabilities are avoidable.
With the right tools in place, you protect your settlement and your record.

View the infographic:

Closing the File Doesn’t Mean Closing the Door on Risk

10/31/2025

Equip your team with actionable knowledge on life care planning and vocational expertise—all while enjoying lunch on us.

In our free, interactive Lunch & Learn sessions, your team will:
✅ Understand life care plans and long-term patient needs
✅ Explore vocational evaluations and their impact on case strategy
✅ Gain insights from nationally experienced experts Cynthia Bourbeau, RN, CRRN, CCM, CNLCP®, CHLCP™ and Kerry A. Skillin, CRC, CVE, ABVE/D
✅ Ask questions and discuss real-world scenarios

These sessions are tailored to legal, claims, and rehabilitation professionals, offering practical, real-world strategies to streamline case evaluation and improve outcomes.

🎯 Free, interactive, and lunch included!

https://medicalandlifecare.com/lunch-and-learns/

Reserve your spot today and empower your team with knowledge that makes a difference.

10/30/2025

💡 Hidden Costs Could Be Lurking in Your Files

Even the most carefully managed claims can carry silent cost drivers that quietly inflate reserves. Our latest infographic highlights 3 key hidden cost drivers you may be overlooking:

1. Home Health Inflation
2. Therapy Overuse
3. Recurring DME Oversights

📊 See the full breakdown and learn how to spot these hidden drivers in your claims:

https://pin.it/3p04lcx1i

Download the infographic here:
https://medicalandlifecare.com/wp-content/uploads/2025/09/The-3-Hidden-Cost-Drivers-in-Long-Tail-Claims.pdf

The 3 Hidden Cost Drivers in Long-Tail Claims