If the medical record in a worker compensation matter needs further development, the doctor already involved in the case should first supplement the record, a panel of the Workers' Compensation Appeals Board of California recently said.
In Erhardt vs. U.S. Concrete dba Central Concrete Supply Company, Inc. permissibly self-insured, administered by Sedgwick Claims Management Services, an employee claimed that he injured his left knee while working for the employer as a concrete mixer driver. He applied for worker compensation.
Section 4600 of California’s Labor Code requires employers to provide reasonable medical treatment to cure or to relieve from the effects of an industrial injury suffered by employees.
In this case, the doctor authorized to act as the applicant’s primary treating physician issued a progress report. The report included a request for authorization for a magnetic resonance imaging (MRI) for the applicant’s right knee and an arthroscopy for his left knee.
At trial, one of the issues was whether the requested medical procedures were reasonable and necessary. The workers’ compensation administrative law judge ordered the company to authorize the MRI and the surgery. The judge found that these medical procedures were reasonably necessary to cure or to relieve from the industrial injury’s effects.
The employer requested reconsideration. It argued that there was no evidence in the trial record that the right knee MRI and the left knee surgery were reasonable...
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