CompFox AI Summary
The Appeals Board granted reconsideration and rescinded an order awarding psychological counseling and a nurse case manager. The Board found no substantial evidence supported the nurse case manager award, as it was not recommended by a physician and not justified by ACOEM Guidelines. Regarding psychological counseling, the Board noted a Utilization Review denial and directed the matter back to the trial level, allowing the unrepresented applicant an extended period to formally object under Labor Code section 4062. This ensures due process and proper adherence to utilization review procedures.
Full Decision Text1 Pages
The Appeals Board granted reconsideration and rescinded an order awarding psychological counseling and a nurse case manager. The Board found no substantial evidence supported the nurse case manager award, as it was not recommended by a physician and not justified by ACOEM Guidelines. Regarding psychological counseling, the Board noted a Utilization Review denial and directed the matter back to the trial level, allowing the unrepresented applicant an extended period to formally object under Labor Code section 4062. This ensures due process and proper adherence to utilization review procedures.
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