22008-nnr
DECISION Claimant appealed the decision of the Independent Review Organization in Case Number 317596. The hearing for this appeal was held on June 13, 2022, with the record closing on June 17, 2022. For the reasons discussed below, the administrative law judge (ALJ) decides: Claimant is not entitled to arthroscopy rotator cuff repair to the […]
22007-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 the preponderance of the evidence is not contrary to the decision of the Independent […]
22006-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 entitled to manipulation under anesthesia and capsular release for thecompensable […]
22005-nnr
DECISION Claimant appealed the decision of the Independent Review Organization in Case Number 314861. The hearings for this appeal were held on January 26, 2022, and March 3, 2022, and the record closed on March 9, 2022. For the reasons discussed below, the administrative law judge (ALJ) decides: Claimant is entitled to endoscopic right carpal […]
22004-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) determined that: The preponderance of the evidence is not contrary to the decision of […]
22002-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) determined that the preponderance of the evidence is not contrary to the decision of […]
22003-nnr
DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and Rules of the Division of Workers’ Compensation adopted thereunder. For the reasons discussed herein, the Administrative Law Judge (ALJ) determines that Claimant is not entitled to home health services provided by his wife 24/7 as aid care. […]
22001-nnr
DECISION AND ORDER Claimant appealed the decision of the Independent Review Organization (IRO) in Case Number (Case Number). The hearing for this appeal was held on January 27, 2022. Pursuant to the agreement of the parties, the administrative law judge (ALJ) determines that: The preponderance of the other medical evidence is not contrary to the […]
21013-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 (ALJ) determines that Claimant is not entitled to sacral caudal #2 under fluoroscopy, CPT 62323 and […]
21012-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 arthrodesis of the distal interphalangeal (DIP) joint, […]