Home/Case Law/TERRY MUNSON vs. LEE SCHEFFERS, INC., REDWOOD FIRE & CASUALTY COMPANY
Regular DecisionWorkers' Compensation

TERRY MUNSON vs. LEE SCHEFFERS, INC., REDWOOD FIRE & CASUALTY COMPANY

Filed: Sep 26, 2014
Marina Del Rey
ADJ6752789

CompFox AI Summary

Monrovia Memorial Hospital sought reconsideration of a WCAB decision denying reimbursement for over $80,000 in facility fees for applicant's surgery. The lien claimant failed to meet its burden of proof by not presenting evidence on the reasonableness of its charges. The WCAB denied the petition, as the lien claimant only submitted billing statements and an unverified brief, not competent evidence. The WCAB affirmed the prior finding that the lien claimant was entitled only to the amount specified by the Medicare Fee Schedule.

Full Decision Text1 Pages

Monrovia Memorial Hospital sought reconsideration of a WCAB decision denying reimbursement for over $80,000 in facility fees for applicant's surgery. The lien claimant failed to meet its burden of proof by not presenting evidence on the reasonableness of its charges. The WCAB denied the petition, as the lien claimant only submitted billing statements and an unverified brief, not competent evidence. The WCAB affirmed the prior finding that the lien claimant was entitled only to the amount specified by the Medicare Fee Schedule.

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