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ADJ8456534 →May 6, 2022 · Los AngelesPanel decision
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Published panel decisions, almost all since 2021: the litigated tail of a system that mostly settles. Issues and outcomes were extracted by AI and released only where the source passage checked. A row is a decision, never a claimant. Not legal advice.
The Appeals Board rescinded the WCJ's Findings of Fact and Award in its entirety and issued a new decision awarding reimbursement for prescriptions recommended by Dr. Grace Reid on June 20, 2019 and July 15, 2019, but rescinded the award for medical mileage expenses. The Board ordered further record development on other disputed prescription expenses.
Findings and Order issued November 15, 2019, rescinded; new decision finds all UR decisions timely, denies penalties under Labor Code section 5814 and attorney's fees under section 5814.5; awards medical treatment to cure or relieve injury effects.
Petition for Reconsideration granted in part to amend findings regarding defendant's standing and to include the 90-day period for home health care; otherwise, the Findings and Award of July 13, 2021, affirmed.
WCAB panel affirmed the WCJ's decision denying the petition for reconsideration and confirming reimbursement to CIGA for bill review and utilization review expenses as part of medical treatment costs.
The WCAB panel granted reconsideration, amended the WCJ's decision to clarify entitlement to completion of care outside defendant's MPN, and otherwise affirmed the WCJ's Findings and Award.
The WCAB affirms the WCJ's Findings of Fact, Award, Order and Opinion on Decision issued February 13, 2020, denying the requested right knee surgery treatment as not established medically necessary.
The WCAB granted the petition for reconsideration, rescinded the WCJ's Expedited Finding of Facts and Order, and returned the matter to the trial level for further proceedings.
February 27, 2014 en banc decision rescinded; Petition for Reconsideration filed by applicant denied; September 20, 2013 Findings and Order of WCJ affirmed
The WCAB en banc rescinded the WCJ's September 23, 2013 decision and returned the matter to the WCJ for further proceedings to determine whether the spinal surgery is reasonably required.
The Appeals Board rescinded the May 6, 2004 WCJ decision and remanded the matter to the WCJ to allow the defendant a reasonable time to initiate the AME/QME procedure and for the WCJ to redetermine the applicant's entitlement to right shoulder surgery after completion of the AME/QME procedure.
WCJ's July 21, 2004 Findings and Award and Order rescinded; matter remanded to trial level for further proceedings and new decision consistent with en banc opinionp. 13