WCPanelIQ
SignificantLienRemanded

Kimberly Stokes

ADJ number
—
Decision date
Jul 8, 2007
District office
San Bernardino
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
—

Injury / body parts: neck, back, bilateral shoulders

LC §5705CCR §1350.2CCR §9789.30

Summary

Lien claimant Ambulatory Surgery Center of Pomona (ASCP) sought reconsideration of a WCJ's Findings and Order disallowing its $44,548.06 lien balance solely because it lacked a fictitious-name permit from the Medical Board when it rendered services. ASCP argued it claimed only facility fees as an accredited 'outpatient setting,' not professional fees, and thus needed no such permit. The Board explained the legal distinction between a 'clinic' (Health & Saf. Code § 1200), which directly provides medical treatment and requires a Medical Board license and fictitious-name permit, and an 'outpatient setting' (Health & Saf. Code § 1248(c)), which does not provide medical treatment and needs only proper accreditation. Because the record was unclear whether ASCP claimed to have provided medical treatment as a clinic or only an accredited outpatient setting—and whether its AAAHC accreditation properly applied—the Board rescinded the WCJ's order and remanded for further development of the record. The Board emphasized that under Capi, the lien claimant bears the burden of proving proper licensure or accreditation.

Issues

Member is $25/month or $250/year and includes full case search.

Holding

Member is $25/month or $250/year and includes full case search.

Analysis

Member is $25/month or $250/year and includes full case search.

Applicant takeaway

Member is $25/month or $250/year and includes full case search.

Defense takeaway

Member is $25/month or $250/year and includes full case search.

Provider takeaway

Member is $25/month or $250/year and includes full case search.

Similar decisions

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.