Lien claimant Medland Medical sought reconsideration of an F&O finding it failed to meet its burden of proof regarding self-procured medical treatment obtained outside the employer's MPN. The applicant had two claimed injuries: a May 26, 2018 back injury (accepted, treated within the MPN) and a January 20, 2019 injury to back, shoulders, and upper extremities (denied by defendant on May 23, 2019). After the denial, applicant's attorney designated Dr. Haghighinia as PTP, and QME Dr. Nottage later found the January 20, 2019 injury industrial, with defendant ultimately stipulating to injury. The Board held that by denying liability for the January 20, 2019 claim, defendant relinquished medical control and could no longer compel MPN treatment, rendering it potentially liable for self-procured care. The Board granted reconsideration, rescinded the F&O, and remanded for the WCJ to determine the reasonableness and necessity of Dr. Haghighinia's treatment.
Issues
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Holding
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Analysis
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Applicant takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Defense takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Provider takeaway
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Similar decisions
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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