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#AuthorizationofMedicalCare

Faye Gardner v. Delta Air Lines, Inc. and ACE USA

In Faye Gardner v. Delta Air Lines, Inc. and ACE USA the Claimant sustained cervical and right shoulder injuries. After receiving treatment the Claimant was stable without complaints and was placed at Maximum Medical Improvement with no restrictions and a 0% permanent impairment rating. The Claimant continued working for the employer until she injured her …

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Ingrid Chin v. Mt. Sinai Medical Center and York Risk Services Group

In Ingrid Chin v. Mt. Sinai Medical Center and York Risk Services Group Claimant was exposed to a fire extinguisher discharge causing shortness of breath on 2/13/18. E/C accepted Claimant’s accident as compensable and authorized treatment. On 11/29/21, E/C denied Claimant’s claim for return visit with treating doctor stating the treatment is unrelated to the …

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Patricia Byrd v. Department of Elder Affairs and The Division of Risk Management

In Patricia Byrd v. Department of Elder Affairs and The Division of Risk Management the Claimant petitioned for authorization and scheduling of a left shoulder MRI without contrast. The E/C stipulated to the compensability of Claimant’s neck and right shoulder conditions. The JCC found that the Claimant established entitlement to the left shoulder MRI requested …

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Quarnetta R. Quaintance v. First Student Transportation and Gallagher Bassett Services, Inc.

In Quarnetta R. Quaintance v. First Student Transportation and Gallagher Bassett Services, Inc. the Claimant presented a DWC-25 report as evidence that stated that Claimant “needs shoulder arthroscopy, however the need for this is the pre-existing condition”. The E/C challenges the authorization because the need is from a pre-existing condition not the workplace accident. Claimant …

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Cynthia Perry v. V & N Pharmacy LLC and Tristar Risk Management, Inc.

In Cynthia Perry v. V & N Pharmacy LLC and Tristar Risk Management, Inc. Claimant was provided medical care after being injured in a head-on motor vehicle. The initial compensable injuries were broken arm and fingers. This claim is for neck and back treatment. The E/C denied neck and back injuries because the hospital records …

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Dawn M. Hogue v. Global Unity Care, Inc. and Ascendant Claims Services

In Dawn M. Hogue v. Global Unity Care, Inc. and Ascendant Claims Services Claimant suffered injuries when she was attacked by a resident of the facility. After the attack the employer implemented new rules where the Claimant was not allowed to walk the hallways or enter the room alone where the person who attacked her …

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David Caswell v. Sikorsky Aircraft Corporation and Chubb Indemnity Insurance Company, ESIS WC Claims

In David Caswell v. Sikorsky Aircraft Corporation and Chubb Indemnity Insurance Company, ESIS WC Claims the Claimant injured left shoulder, left elbow, and left knee in an industrial accident. E/C accepted compensability of the Claimant’s industrial accident injuries but denied all care, compensability and future treatment for pre-existing arthrosis/chondrosis/degenerative joint disease as the workplace accident …

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Thomas Mudd v. Trees LLC and Sedgwick CMS, XL Insurance America

In Thomas Mudd v. Trees LLC and Sedgwick CMS, XL Insurance America the Claimant was injured during the course and scope of employment while working as a driver/foreman. The Claimant seeks authorization of cognitive behavioral therapy, multidisciplinary pain management, acupuncture or dry needling, and an evaluation by a urologist pursuant to the recommendation of Dr. …

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Stacey Leavins v. The Geo Group, Inc. and Sedgwick CMS

In Stacey Leavins v. The Geo Group, Inc. and Sedgwick CMS the E/C objected to the admission into evidence of the medical records of Dr. Goeke asserting that Dr. Goeke’s opinions were not admissible because he was not an authorized physician, IME or an expert medical advisor. E/C also objected on hearsay and authentication grounds …

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Bernice L. Mastro-Mitchum v. Bay County School Board and Corvel Corporation

In Bernice L. Mastro-Mitchum v. Bay County School Board and Corvel Corporation the Claimant was employed as a preschool teacher who only worked some summers. At the time of the accident the Claimant was working during summer school. The E/C argued that the Claimant was not due indemnity because she did not request summer work. …

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