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Regular DecisionReconsideration

ROBERTA MOORE vs. CITY OF LOS ANGELES, TRISTAR RISK MANAGEMENT

Filed: Nov 26, 2018
ADJ3388749 (VNO 0561016)

CompFox AI Summary

The Workers' Compensation Appeals Board granted reconsideration to address conflicting medical opinions from the Agreed Medical Examiner (AME) regarding the apportionment of applicant Roberta Moore's fibromyalgia disability. The AME's report initially apportioned 70% of the disability to the industrial injury, but later changed to 100% to the industrial component, citing remission of her non-industrial condition. The Board found this sudden change unexplained and is remanding the case for further clarification from the AME or a new medical examination. Additionally, the Board will allow parties to address permanent total disability findings in light of the Fitzpatrick decision.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board granted reconsideration to address conflicting medical opinions from the Agreed Medical Examiner (AME) regarding the apportionment of applicant Roberta Moore's fibromyalgia disability. The AME's report initially apportioned 70% of the disability to the industrial injury, but later changed to 100% to the industrial component, citing remission of her non-industrial condition. The Board found this sudden change unexplained and is remanding the case for further clarification from the AME or a new medical examination. Additionally, the Board will allow parties to address permanent total disability findings in light of the Fitzpatrick decision.

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ROBERTA MOORE vs. CITY OF LOS ANGELES, TRISTAR RISK MANAGEMENT (2018) – | CompFox