WCPanelIQ
PanelQMEMed-legalDismissed

Lujan, Crystal

CRYSTAL LUJAN, Applicant vs. HOAG MEMORIAL HOSPITAL PRESBYTERIAN; Self-Insured, Administered by CORVEL, Defendants

ADJ number
ADJ10450766
Decision date
Dec 30, 2024
District office
Santa Ana
WCJ
—
Claim administrator
CorVel (administering self-insured Hoag Memorial Hospital Presbyterian)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: coccyx, lumbar spine

LC §5909LC §5900LC §5904CCR §10955

Summary

Defendant Hoag Memorial Hospital Presbyterian, self-insured and administered by CorVel, sought reconsideration of the WCJ's October 4, 2024 Findings of Fact, which held that re-evaluations with the PQME in psychiatry (Dr. Greils) and the PQME in urology (Dr. Agatstein) were not warranted. Applicant had already been found to be at maximum medical improvement by these PQMEs, and defendant argued the prior reports were stale and that re-evaluations were needed for its vocational evaluation. The Board found that while the Findings of Fact contained threshold findings (employment and AOE/COE), those had already become final in a December 1, 2023 decision, leaving only the interlocutory PQME re-evaluation issue. Treating the challenge under the removal standard, the Board found defendant failed to show significant prejudice or irreparable harm, or that reconsideration would be an inadequate remedy. The Board dismissed the petition as one for reconsideration and denied it as one for removal.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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