CompFox AI Summary
This case involves a lien claimant, Monrovia Hospital, seeking reconsideration after a Workers' Compensation Appeals Board decision denying their claim for additional payment. The claimant argued a lack of due process due to an unavailable expert witness and that their services were exempt from the Official Medical Fee Schedule (OMFS). The Board denied reconsideration, finding the claimant failed to subpoena their expert and did not provide adequate evidence to demonstrate their charges were reasonable and customary under the "reasonable cost basis" standard for non-OMFS services. Ultimately, the WCJ's finding that the defendant reasonably paid the amount awarded was upheld.
Full Decision Text1 Pages
This case involves a lien claimant, Monrovia Hospital, seeking reconsideration after a Workers' Compensation Appeals Board decision denying their claim for additional payment. The claimant argued a lack of due process due to an unavailable expert witness and that their services were exempt from the Official Medical Fee Schedule (OMFS). The Board denied reconsideration, finding the claimant failed to subpoena their expert and did not provide adequate evidence to demonstrate their charges were reasonable and customary under the "reasonable cost basis" standard for non-OMFS services. Ultimately, the WCJ's finding that the defendant reasonably paid the amount awarded was upheld.
Read the full decision
Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.