CompFox AI Summary
The Workers' Compensation Appeals Board rescinded a prior decision because the administrative law judge (WCJ) failed to apply the Kunz standard for determining reasonable facility fees for medical services. The WCJ's decision was found to be internally inconsistent and unsupported by the evidence, particularly regarding the consideration of contractually negotiated rates and usual fees accepted by other providers. The case is remanded for further proceedings and a new decision by a different WCJ.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board rescinded a prior decision because the administrative law judge (WCJ) failed to apply the Kunz standard for determining reasonable facility fees for medical services. The WCJ's decision was found to be internally inconsistent and unsupported by the evidence, particularly regarding the consideration of contractually negotiated rates and usual fees accepted by other providers. The case is remanded for further proceedings and a new decision by a different WCJ.
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