454-12-1987-m4-etal
DECISION AND ORDER Vista Medical Center Hospital (Vista) challenges the denial of additional reimbursement by ______ for hospital outpatient procedures (HOP) performed at Vista’s facility on four separate occasions for the same injured worker. The services were provided on October 3, 2006,[1] October 31, 2006,[2] December 5, 2006,[3] and March 20, 2007.[4] The October 3, […]
454-12-5238-m4
DECISION AND ORDER Seabright Insurance Company (Seabright) seeks to deny additional reimbursement to Sierra Medical Center (Sierra) for inpatient hospital surgical services provided to an injured worker (Claimant) from June 3, 2011, to June 5, 2011, at Sierra. The Administrative Law Judge (ALJ) finds Sierra is entitled to additional reimbursement in the amount of $7,014.81. […]
454-12-2542-m4
DECISION AND ORDER Vista Medical Center Hospital (Vista) challenges the denial of additional reimbursement by State Office of Risk Management (SORM) for hospital outpatient procedures (HOP) performed at Vista’s facility on four separate occasions for the same injured worker. The services were provided on September 18, 2007,1 October 9, 2007,2 October 23,3 and October 16, […]
454-12-2543-m4
DECISION AND ORDER Vista Medical Center Hospital (Vista) challenges the denial of additional reimbursement by State Office of Risk Management (SORM) for hospital outpatient procedures (HOP) performed at Vista’s facility on four separate occasions for the same injured worker. The services were provided on September 18, 2007,1 October 9, 2007,2 October 23,3 and October 16, […]
454-12-2544-m4
DECISION AND ORDER Vista Medical Center Hospital (Vista) challenges the denial of additional reimbursement by State Office of Risk Management (SORM) for hospital outpatient procedures (HOP) performed at Vista’s facility on four separate occasions for the same injured worker. The services were provided on September 18, 2007,1 October 9, 2007,2 October 23,3 and October 16, […]
454-12-2616-m4
DECISION AND ORDER Vista Medical Center Hospital (Vista) challenges the denial of additional reimbursement by State Office of Risk Management (SORM) for hospital outpatient procedures (HOP) performed at Vista’s facility on four separate occasions for the same injured worker. The services were provided on September 18, 2007,1 October 9, 2007,2 October 23,3 and October 16, […]
454-12-4924-m4
DECISION AND ORDER I. INTRODUCTION This is one of four cases heard together because they involve the same basic legal issues and evidence.[1] Each case involves services rendered by Renaissance Hospitals (Renaissance) to an injured employee covered by the workers’ compensation insurance system. Each case involves a separate insurance carrier, but the same attorney represented […]
454-12-4925-m4
DECISION AND ORDER I. INTRODUCTION This is one of four cases that were heard together because they involve the same basic legal issues and evidence.[1] Each case involves services rendered by Renaissance Hospitals (Renaissance) to an injured employee covered by the workers’ compensation insurance system. Although each case involves a separate insurance carrier, the same […]
454-12-5454-m4
DECISION AND ORDER I. INTRODUCTION This is one of four cases heard together because they involve the same basic legal issues and evidence.[1] Each case involves services rendered by Renaissance Hospitals (Renaissance) to an injured employee covered by the workers’ compensation insurance system. Each case involves a separate insurance carrier, but the same attorney represented […]
454-12-5501-m4
DECISION AND ORDER I. INTRODUCTION This is one of four cases heard together because they involve the same basic legal issues and evidence.[1] Each case involves services rendered by Renaissance Hospitals (Renaissance) to an injured employee covered by the workers’ compensation insurance system. Each case involves a separate insurance carrier, but the same attorney represented […]