WCPanelIQ
PanelQMEMed-legalLienRemanded

Caceres, Mirna

MIRNA JANET CACERES, Applicant vs. ACADIA MANAGEMENT, INC., and TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA administered by TRAVELERS, Defendants

ADJ number
ADJ10918846
Decision date
Date unavailable
District office
Los Angeles
WCJ
—
Claim administrator
Travelers, administering for Travelers Property Casualty Company of America
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: lumbar spine, left hip, right hip, bilateral thighs/legs, waist, pelvis, psyche, urinary system (urinary incontinence), coccyx

CCR §10390

Summary

Applicant Mirna Caceres sought reconsideration of a Joint Findings and Award that found no psychiatric injury in ADJ11980943, no temporary disability after December 23, 2019, 39% permanent disability, and allowed EDD recovery on its lien. The applicant challenged the substantiality of urology QME Dr. Koo's reports on temporary disability and permanent disability, and contended treating psychologist Dr. Schwafel's reports established a psychiatric injury. On review, the Board identified numerous inconsistencies in the record regarding whether applicant's employer was Acadia Management, Inc. or 4 Wall Entertainment, and noted 4 Wall Entertainment did not appear to have been joined as a party even though the F&A awarded medical treatment in the case originally identifying 4 Wall as the employer. The Board granted reconsideration, rescinded the F&A, and returned the matter to the WCJ to have the parties properly identify the employers, job title, and duties, and to issue a new decision.

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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