CompFox AI Summary
This case concerns a hospital's claim for additional payment for an injured worker's lengthy rehabilitation stay following paraplegia after epidural injections. The hospital argued its services were exempt from the Official Medical Fee Schedule due to extraordinary circumstances and the necessity of specialized rehabilitation. The Workers' Compensation Appeals Board adopted the Administrative Law Judge's recommendation, denying the employer's petition for reconsideration. The Board found the ALJ's reasoning regarding reasonable treatment under the fee schedule and the justification for additional payment, including interest, was sound.
Full Decision Text1 Pages
This case concerns a hospital's claim for additional payment for an injured worker's lengthy rehabilitation stay following paraplegia after epidural injections. The hospital argued its services were exempt from the Official Medical Fee Schedule due to extraordinary circumstances and the necessity of specialized rehabilitation. The Workers' Compensation Appeals Board adopted the Administrative Law Judge's recommendation, denying the employer's petition for reconsideration. The Board found the ALJ's reasoning regarding reasonable treatment under the fee schedule and the justification for additional payment, including interest, was sound.
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