Tag: medical treatment

WCJ Awards Medical Treatment, Penalties, and Attorney Fees Despite Utilization Review Delay of Treatment

Cordova v. Garaventa (BPD) (43 CWCR 12)(ADJ 553885):

 

The WCJ found applicant one hundred percent permanently, totally disabled and entitled to future medical care pursuant to a December 31, 2010 Findings and Award. The WCJ found that the defendant issued a utilization review, non-certification notice on July 19, 2013 and that denials were neither …

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Martinez v. Santa Clarita Community College

Martinez v. Santa Clarita Community College (BPD) (ADJ 8897155):

This case involves a denied continuous trauma injury. The applicant objected to the report from the treating orthopedist based upon the disability status of applicant’s medical condition.

Applicant simultaneously filed three separate requests for panels of Qualified Medical Evaluators in specialties of orthopedics, psychiatry and internal …

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Orange v. National Union Fire (BPD) (42 CWCR 279):

Applicant injured her left arm on March 14, 2010, and also suffered a psychiatric injury as a result of that injury. The employer accepted liability and provided applicant with medical treatment including counseling by California licensed MFT, whose office was in California.

Applicant moved to Nevada and continued being treated by the California license MFT …

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Castro v. U.S. Fire Ins. (BPD) (42 CWCR 200)

Applicant injured his back and defendants accepted liability for the injury and provided benefits.

The parties agreed to an Agreed Medical Evaluator. The Agreed Medical Evaluator, as part of his report, indicated the applicant was in need of home care four hours each day, seven days a week, along with transportation to and from medical …

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Is applicant entitled to select another physician within the MPN

Acosta v. Balance Staffing (BPD) (2014 Cal. Wrk. Com. LEXIS P.D. 480):

This matter proceeded to an expedited hearing on the issue of whether the applicant’s medical treatment had been terminated by the MPN Primary Treating Physician and whether the applicant is entitled to select another physician within the MPN, without resorting to the QME …

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Unnecessary for Applicant to Obtain Request for Authorization to Challenge Defendant’s Termination of Medical Treatment

Patterson v. The Oaks Farm (Significant Panel Decision) (___CCC____):

The WCAB held the following:
1. That the provision of a nurse case manager is a form of medical treatment pursuant to LC § 4600.

2. An employer may not unilaterally cease to provide approved nurse case manager services when there is no evidence of …

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