Applicant Danielle Casarotti suffered a January 28, 2012 fall from a bar stool while working as a bartender, sustaining injury to her brain, neck, back, head, psyche, sleep, and eyes. After her treating physician Dr. Patterson submitted RFAs for a psychology consult, home health assistance (HHA), transportation services, and Aimovig injections, defendant's UR determination was found untimely (issued 28 days after receipt of the RFA, exceeding the five-working-day limit). The WCJ found the treatment reasonable and necessary under Dubon II and ordered defendant to provide it, with HHA and transportation continuing until a change in circumstances per Patterson v. The Oaks Farm. The WCAB denied defendant's petition for reconsideration, adopting the WCJ's Report, holding the HHA finding was supported by substantial evidence even without applying Patterson, and rejecting defendant's reliance on surveillance video and QME opinions.
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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The panel considered the record, the applicable statutes, and the arguments of the parties.
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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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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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