What the panel ordered
Findings of Fact and Orders of WCJ dated August 2, 2023 rescinded; matter returned to WCJ for further proceedings consistent with parties' stipulation and WCAB interim order dated October 23, 2023.
Petition for Reconsideration filed by applicant from WCJ Findings of Fact and Orders dated August 2, 2023; WCJ had denied reimbursement for home health care services due to lack of detailed records; WCJ ordered medical opinions of Dr. Kevin Calhoun to be submitted to Utilization Review; WCAB issued interim order granting petition and returned matter to WCJ for further proceedings after parties' stipulation.
This docket was decided more than once. Shown here is the latest released decision; we also hold October 23, 2023.
What was disputed, and how it came out
Each issue the panel decided, with the reasoning it gave. An outcome is what this panel did on this record — not a rule, and not a prediction.
Applicant failed to produce detailed records for home health care services, leading to denial of reimbursement; however, the matter was returned to WCJ for further proceedings to create a complete record.
From the decision · page 1Applicant filed a Petition for Reconsideration (Petition) of the Findings of Fact and Orders (F&O) issued by the workers' compensation administrative law judge (WCJ) in this matter on August 2, 2023. In that decision, the WCJ found in pertinent part that applicant failed in his "affirmative duty to produce detailed records showing services and dates rendered for the home health care services provided", and thus ordered that applicant take nothing further as reimbursement for such services.