CompFox AI Summary
The Workers' Compensation Appeals Board denied reconsideration, affirming the administrative law judge's decision regarding the reasonableness of an outpatient surgery center's facility fees. The Board reiterated that the lien claimant bears the burden of proving their charges are reasonable and that the defendant presented credible evidence rebutting the billed amount. The decision also clarified that reasonableness considers various factors beyond just the facility's usual accepted fees, and inadmissible evidence from the lien claimant was appropriately excluded.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied reconsideration, affirming the administrative law judge's decision regarding the reasonableness of an outpatient surgery center's facility fees. The Board reiterated that the lien claimant bears the burden of proving their charges are reasonable and that the defendant presented credible evidence rebutting the billed amount. The decision also clarified that reasonableness considers various factors beyond just the facility's usual accepted fees, and inadmissible evidence from the lien claimant was appropriately excluded.
Read the full decision
Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.