Lusk v. Portopiccolo Group LLC, dba The Portopiccolo Group
This interlocutory appeal concerns an employer's denial of medical treatment for an employee's work-related injuries. Employee Cheryl Lusk, injured by a resident at Portopiccolo Group, LLC, was recommended for cervical spine surgery by her authorized treating physician, Dr. John Burleson. The employer denied the surgery based on a utilization review report, which was upheld by the Bureau's Medical Director. The trial court, however, ordered the employer to provide the surgery, relying on the presumption of medical necessity for treatment recommended by an authorized physician. The Appeals Board affirmed the trial court's decision, concluding that the employer failed to rebut this presumption, and remanded the case for further proceedings.