Appeals Board panel revisits Hardesty By Hon. Susan V. Hamilton, Former Assistant Secretary and Deputy Commissioner, California Workers’ Compensation Appeals Board One of the first lessons learned...
CALIFORNIA COMPENSATION CASES Vol. 89, No. 5 May 2024 A Report of En Banc and Significant Panel Decisions of the WCAB and Selected Court Opinions of Related Interest, With a Digest of WCAB Decisions...
By Hon. Susan V. Hamilton, Former Assistant Secretary and Deputy Commissioner, California Workers’ Compensation Appeals Board The medically related intricacies of a California workers’ compensation...
LexisNexis has selected some recently issued noteworthy IMR decisions that illustrate the criteria that must be met to obtain authorization for a variety of different medical treatment modalities. LexisNexis...
By Hon. Susan V. Hamilton, Former Assistant Secretary and Deputy Commissioner, California Workers’ Compensation Appeals Board Appeals Board panel decisions that rescind a WCJ’s decision and...
By Stuart D. Colburn, Esq., Shareholder, Downs Stanford
This case addresses when a DWC-69 is required after a change in an impairment rating (IR) due to a mathematical error. State Office of Risk Mgmt. v. Rodriguez, 2011 Tex. App. LEXIS 6839 (Tex. App. El Paso Aug. 26, 2011).
The Appeals Panel (AP) found none of the three (3) DWC-69 were valid. The AP criticized the designated doctor's (DD) 5% certification for failing to provide a basis or explanation. The AP found the treating doctor's (TD) 25% IR contained at least a mathematical error and should be 23%. The DD corrected his certification in response to a Letter of Certification (LOC) by providing a basis for his opinions. The TD submitted a new report, changing the IR to 23% as suggested by the AP but did not complete a DWC-69.
SORM filed a plea to the jurisdiction arguing the trial court had no issue before them they could resolve because there was only one valid IR, arguing the TD did not draft a new DWC-69 and thus no valid IR. The court of appeals disagreed believing whether an amended report from the TD is a mathematical correction not requiring a new DWC-69 or a new IR requiring a new report was an issue the court could determine.
The court stated, "Where one of the IRs presented before the Division contains a clear mathematical error, the fact finder is free to correct the minor clerical error and choose between the corrected IR and any other IRs presented." They contrasted a mathematical correction IR from a new IR which would require a new report. The trial court retains jurisdiction over this dispute and thus the plea to the jurisdiction.
For more information about LexisNexis products and solutions connect with us through our corporate site.