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The Appeals Board reconsidered a WCJ's decision disallowing the remainder of a hospital's lien. The WCJ found the lien unreasonable based on an incorrect standard, as the hospital's services were not subject to the Official Medical Fee Schedule and were to be paid on a reasonable cost basis. The Appeals Board rescinded the prior decision, returning the case to the trial level for further proceedings and a new decision. This decision clarifies that the lien claimant bears the burden of proving the reasonableness of its charges on a cost basis, not just its usual fees.
ROBERTO ESCOBAR-IZARRARAS vs. ACCORN ENGINEERING, PACIFIC COMPENSATION INSURANCE COMPANY is a workers' compensation case decided in Van Nuys. This case addresses legal issues related to compensation claims, benefits, and court rulings.
It is commonly referenced in legal research involving workers' compensation laws in Van Nuys.
Full Decision Text1 Pages
The Appeals Board reconsidered a WCJ's decision disallowing the remainder of a hospital's lien. The WCJ found the lien unreasonable based on an incorrect standard, as the hospital's services were not subject to the Official Medical Fee Schedule and were to be paid on a "reasonable cost basis." The Appeals Board rescinded the prior decision, returning the case to the trial level for further proceedings and a new decision. This decision clarifies that the lien claimant bears the burden of proving the reasonableness of its charges on a cost basis, not just its usual fees.
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