Appeals Panel Decisions - Texas Worker

September 14, 2023

APD 231076

The Appeals Panel reversed the Administrative Law Judge's decision regarding finality. The Appeals Panel noted that the certifying doctor's miscalculation of the impairment for range-of-motion loss constituted compelling medical evidence of a significant error, and therefore, the exception in Labor Code Section 408.123(f)(1)(A) applied.

September 11, 2023

APD 231080

The Appeals Panel reversed the decision because the Administrative Law Judge excluded the carrier-RME chiropractor's opinion regarding PTSD pursuant to Rule 127.130(b)(7). The Appeals Panel noted that the rule applies only to designated doctors.

September 7, 2023

APD 230988

The Appeals Panel reversed the Administrative Law Judge's decision on relatedness-of-medical treatment because the parties' stipulated to the medical condition treated.

September 5, 2023

APD 231028

The Appeals Panel reversed the Administrative Law Judge's decision regarding impairment rating because there was an inconsistency in the measurements reported by the certifying doctor.

August 24, 2023

APD 230808

The Appeals Panel reversed the Administrative Law Judge's decision regarding timeliness or sufficiency of a carrier’s Notice of Denial of Compensability/Liability. The Appeals Panel noted that the PLN-1 in evidence did not show when or if it was filed by the carrier.

August 24, 2023

APD 230890

The Appeals Panel reversed the Administrative Law Judge's decision on impairment rating because the adopted certification rated a total shoulder arthroplasty, which was not part of the claimant's treatment.

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