21011-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation (DWC). For the reasons discussed herein, the Administrative Law Judge (ALJ) determines that: Claimant is not entitled to total left knee arthroplasty, uncemented, for the […]
21010-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge determines that Claimant is not entitled to transforaminal lumbar interbody fusion (TLIF) at L3/4, posterior fusion […]
21009-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation (DWC). For the reasons discussed herein, the Administrative Law Judge determines that the preponderance of the evidence is not contrary to the decision of the […]
21008-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge determines that Claimant is not entitled to bilateral greater & lesser occipital nerve blocks for headaches […]
21007-nnr
DECISION This case is decided pursuant to the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation (DWC). For the reasons discussed herein, the Administrative Law Judge determines the following: The preponderance of the evidence is not contrary to the decision of the Independent Review Organization (IRO) […]
21005-nnr
DECISION This case is decided pursuant to the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge determines the following: The preponderance of the evidence is not contrary to the decision of the Independent Review Organization (IRO) that […]
21006-nnr
DECISION This case is decided pursuant to the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation. For the reasons discussed herein, the Administrative Law Judge determines the following: The preponderance of the evidence is not contrary to the decision of the Independent Review Organization (IRO) that […]
21004-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and the Rules of the Texas Department of Insurance, Division of Workers’ Compensation (DWC). For the reasons discussed herein, the Administrative Law Judge determines that Claimant is entitled to physical therapy rehabilitation X12, right shoulder (97110: Therapeutic Exercises […]
21003-nnr
DECISION Claimant appealed the decision of the Independent Review Organization in Case Number 299348. The hearing for this appeal was held on January 13, 2021. For the reasons discussed below, the administrative law judge (ALJ) decides: Claimant is entitled to physical therapy right shoulder, 12 visits for the compensable injury of (Date of Injury). Issue […]
21002-nnr
DECISION The parties attended a medical contested case hearing on January 13, 2021. For the reasons discussed below, the administrative law judge (ALJ) decides that: The preponderance of the evidence is not contrary to the decision of the Independent Review Organization (IRO) that a home health care aide for twenty-four hours per day for seven […]