E. Johnson v. Driversource, Inc. (WCAB) ( 2022 )


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  •           IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Eddie Johnson,                          :
    Petitioner     :
    :
    v.                   :   No. 464 C.D. 2021
    :   SUBMITTED: September 17, 2021
    Driversource, Inc.                      :
    (Workers’ Compensation Appeal           :
    Board),                                 :
    Respondent       :
    BEFORE:     HONORABLE PATRICIA A. McCULLOUGH, Judge
    HONORABLE ELLEN CEISLER, Judge
    HONORABLE BONNIE BRIGANCE LEADBETTER, Senior Judge
    OPINION NOT REPORTED
    MEMORANDUM OPINION BY
    SENIOR JUDGE LEADBETTER                              FILED: February 24, 2022
    Claimant, Eddie Johnson, petitions for review from the April 15, 2021
    order of the Workers’ Compensation Appeal Board. The Board affirmed the
    workers’ compensation judge’s (WCJ) August 12, 2020 Decision and Order that
    granted, in part, Claimant’s petition to review compensation benefits (review
    petition) and granted the petition for termination of compensation benefits
    (termination petition) filed by Employer, Driversource, Inc. We affirm.
    I.     Background and Procedural History
    On December 4, 2018, Claimant worked for Employer as a driver.
    While driving his route, he was struck head-on by another vehicle. As a result of
    this accident, Claimant injured his right side, from his shoulder and thumb, down
    through his low back and to his knee. Employer issued a notice of temporary
    compensation payable, which later converted to a notice of compensation payable
    (NCP) by operation of law.
    On July 3, 2019, Employer filed its termination petition, alleging
    Claimant had fully recovered from his work injuries as of April 8, 2019, pursuant to
    the opinion of Amir Fayyazi, M.D. The matter was assigned to the WCJ on July 5,
    2019, and on September 9, 2019, Claimant filed his review petition alleging that the
    injuries, as originally described, should be amended to include myofascial pain
    syndrome, lumbar paraspinal strain/sprain, cervical strain/sprain, chronic bilateral
    low back pain, sprain of the metacarpophalangeal joint of the right thumb, sprain of
    the collateral ligament of his right knee, right wrist and hand sprain, a left elbow
    injury, and aggravation of degenerative joint disc disease or aggravation of
    degenerative disc disease. Employer filed an Answer denying the critical averments
    raised in the review petition.
    Hearings were held by the WCJ on September 11, 2019, and March 6,
    2020, and the parties each presented documentary evidence for the WCJ’s
    consideration.   At the conclusion of hearings, and after consideration of the
    documentary evidence presented by the parties, and admitted into evidence by the
    WCJ, the WCJ issued his Decision and Order. A summary of the WCJ’s findings
    and conclusions follows below.
    II.    The WCJ’s Decision and Order
    In his August 12, 2020 Decision and Order, the WCJ made the
    following findings. The WCJ found Claimant credible relative to his testimony
    about his job duties. Finding of Fact (F.F.) 4. The WCJ found Claimant credible
    that he was in a motor vehicle accident, which resulted in injuries to his lumbar and
    cervical spine, as well as to his right knee, right thumb, and wrist. However, the
    2
    WCJ did not find Claimant’s testimony to be credible that his low back injury
    continues to prevent him from returning to work in any capacity.1 F.F. 10.
    Claimant presented the deposition testimony of his doctor, Jason
    Erickson, D.O., who is board certified in physical medicine and rehabilitation and
    interventional pain medicine. Dr. Erickson began treating Claimant in April 2019
    and opined that Claimant sustained a lumbar paraspinal strain as a result of his work-
    related motor vehicle accident. F.F. 8. The WCJ found:
    When reviewing the medical records, [Dr. Erickson] opined that
    Claimant also has myofascial pain syndrome, a lumbar paraspinal strain
    and sprain, cervical strain and sprain, chronic bilateral low back pain,
    sprain of the metacarpophalangeal joint of the right thumb, sprain of
    the collateral ligament of the right knee, right wrist and hand sprain and
    strain, left elbow injury, aggravation of degenerative disc disease,
    degenerative joint disease, lumbar radiculitis and thoracic kyphosis
    although he noted that the thoracic kyphosis is not a diagnosis caused
    by the [work accident]. He noted that facet arthrosis is arthritis of the
    lumbar spine and was noted in the imaging, but this would not be
    caused by the accident. He feels that these underlying conditions could
    be aggravated by the accident. He believes that there was an
    aggravation of the tricompartmental osteoarthritis of the right knee. Dr.
    Erickson conceded that he is unable to render an opinion to a reasonable
    degree of medical certainty as to whether . . . Claimant’s facet arthritis
    was aggravated by the accident . . . .
    [W]hen asked whether he could render an opinion to a reasonable
    degree of medical certainty as to whether [] Claimant could currently
    return to his pre-injury job, [Dr. Erickson] indicated that he cannot
    comment on that as he hadn’t followed up with Claimant to see if he
    could return to that level of duty. As of his last examination in July
    2019, he did not feel [] Claimant would be capable of a return to that
    1
    As background, the Board noted that Employer filed a February 25, 2019 petition to modify
    compensation benefits (modification petition), alleging that Claimant was able to return to work
    with restrictions, as determined by his treating medical provider, and that he had returned to work
    with a different employer for some period of time. The parties agreed to keep the present matter
    separate from the modification petition. Thus, the Board did not address it as part of its Opinion
    and Order, and we do not address it here. See Board’s Op. and Order, 4/15/2021 at 2, n.1.
    3
    position. Since Dr. Erickson has not seen Claimant in a follow[-]up
    appointment, he was not in a position to say whether Claimant had fully
    recovered from [his] work injur[ies]. As of his last examination, he did
    not believe Claimant had recovered due to Claimant’s continued
    complaints of pain and the need to seek further treatment. He did not
    recall if Claimant was still on medications at that last appointment. Dr.
    Erickson was not sure whether Claimant continued to treat with other
    providers at the time of his evaluation.
    On cross examination, Dr. Erickson acknowledged that he saw
    Claimant initially in March or April 2019. He then saw Claimant at a
    subsequent visit to perform the initial injection. He acknowledged that
    Claimant sustained a soft tissue injury and the injections he provided
    were not into the spinal column. Dr. Erickson acknowledged he has
    not provided a referral to any surgeons for Claimant’s treatment.
    Dr. Erickson acknowledged that when he saw [] Claimant the
    next time on July 11, 2019[,] to perform the second injection, he did
    not perform a separate physical examination. He conceded that he had
    not seen Claimant in follow up since July 11, 2019. He doesn’t know
    how Claimant responded to that second injection. At the time of [Dr.
    Erickson’s] testimony, Claimant had not scheduled a further
    appointment with his office. Dr. Erickson acknowledged that at the
    first visit he did not diagnose Claimant with radiculopathy. Dr.
    Erickson acknowledged that at the first visit, he did not recall whether
    Claimant was complaining of cervical pain, right thumb pain, right knee
    pain, right wrist or hand pain or left elbow pain. He does not believe
    Claimant was complaining of radiculitis or radiculopathy as of that first
    visit. Dr. Erickson acknowledged that he had not seen any medical
    records after July 2019, . . . where Claimant was complaining of
    radiculitis or radiculopathy. He then agreed that at the time he
    evaluated Claimant, Claimant would have been fully recovered from
    any radiculopathy or radiculitis.
    Similarly, Dr. Erickson has not seen any records after July 2019,
    where Claimant appear[ed] to treat for the cervical strain or sprain, []
    myofascial pain syndrome, the lumbar sprain or strain or the bilateral
    low back pain. Dr. Erickson also has not seen any medical records
    post[-]dating July 2019[,] where Claimant was complaining of a sprain
    of the metacarpal joint of the right thumb, hand or wrist, or for treatment
    of the collateral ligament of the right knee. Simply put, Dr. Erickson
    has not seen any medical records that post-date[] July 2019[,] for any
    condition that may or may not be related to the accident.
    4
    Id.
    Employer presented the deposition testimony of Dr. Fayyazi, who is
    board certified in orthopedic surgery. F.F. 7. Dr. Fayyazi performed an independent
    medical evaluation (IME) of Claimant on April 8, 2019. Id. The WCJ found:
    Claimant told Dr. Fayyazi that he was involved in a motor vehicle
    accident on December 4, 2018. He explained to Dr. Fayyazi that he
    was taken to the emergency room and treated for a number of injuries.
    He was treated for neck pain which, in general, had improved. He
    treated for an injury to his right thumb but was not complaining of pain
    in the right hand or wrist at the time of the evaluation. Similarly,
    Claimant told Dr. Fayyazi that [his] neck had improved, and it feels,
    “pretty good,” and he denied having any problems with his neck prior
    to this incident.
    Claimant’s primary complaint was of low back pain for which he
    has been treating since the date of injury. He described the pain going
    down his legs. He further advised that immediately after the accident,
    he was placed on light duty. Claimant confirmed that he was not
    working at the time of the evaluation. Claimant also complained to Dr.
    Fayyazi of right knee pain. He advised Dr. Fayyazi that he had been
    treating for the right knee at St. Luke’s [O]ccupational [M]edicine and
    was then sent for physical therapy. Claimant was still complaining of
    symptoms in the right knee at the time of Dr. Fayyazi’s evaluation.
    Id.
    In addition, the WCJ found that by the time Dr. Fayyazi examined him,
    Claimant was no longer complaining of wrist pain, and Dr. Fayyazi believed that, at
    that point, Claimant had fully recovered from any right wrist sprain. Id. Dr. Fayyazi
    concluded that Claimant had also recovered from any injury to his right thumb and
    recovered from any cervical neck strain or sprain relative to his accident. Id.
    As of the IME, Dr. Fayyazi had not seen films relative to Claimant’s
    complaints of low back and right knee pain, and he still wanted to review these
    images. However, prior to viewing these films, Dr. Fayyazi released Claimant to
    work with restrictions. After reviewing the films, Dr. Fayyazi opined that Claimant
    5
    had experienced a lumbar strain or sprain but that Claimant had recovered from same
    and did not require any work restrictions in these regards. The WCJ found that Dr.
    Fayyazi testified that Claimant had fully recovered from any and all injuries he
    sustained in the motor vehicle accident, that he would not place any restrictions on
    Claimant, and that Claimant did not need further treatment for his work injuries. Id.
    The WCJ specifically stated that Dr. Fayyazi “rendered the opinion that Claimant
    had a lumbar strain or sprain from which he had fully recovered” and that
    “Claimant’s current right knee complaints are related to [] underlying arthritis.” Id.
    After consideration of the testimony and a review of the evidence of
    record, the WCJ found that Claimant’s injury description “should be amended to
    include a lumbar sprain, cervical sprain, metacarpal joint sprain of the right thumb,
    right wrist sprain and right knee sprain.” F.F. 10. The WCJ rejected the contention
    that Claimant sustained any other injury not specifically listed in the preceding
    description. Id.
    In addition to his findings relative to Claimant’s credibility, the WCJ
    found Dr. Fayyazi’s testimony more credible than Dr. Erickson’s testimony where
    there were contradictions between the two. Id. The WCJ explained that he found it
    significant that Dr. Erickson (1) did not detail his examination of Claimant, (2) only
    examined Claimant in regard to his low back, and (3) did not detail the cause of the
    injuries Claimant sought to include in his review petition. Id. The WCJ found that
    Dr. Fayyazi performed a thorough examination and “credibly explained how his
    opinion, that Claimant had fully recovered from any and all work injuries, was based
    upon his clinical examination and [] from the later received diagnostic records.” Id.
    The WCJ found that Dr. Fayyazi “more thoroughly explained why he [did] not find
    Claimant’s injuries functionally limiting or disabling,” and “Dr. Erickson’s opinions
    6
    seem to be premised on what diagnoses he reviewed in the medical records and
    concedes he did not perform an examination of any kind except of Claimant’s back.”
    Id.
    Based on the foregoing, the WCJ concluded that Claimant met his
    burden of proof on the review petition, in part, and that his description of injuries
    “should be amended to include lumbar sprain, cervical sprain, right wrist sprain,
    right thumb sprain and right knee sprain.” Conclusion of Law (C.L.) 2. The WCJ
    further concluded that Employer had successfully met its burden of proof on the
    termination petition and that Claimant was fully recovered from his work injuries as
    of June 21, 2019. C.L. 3. Claimant appealed to the Board.
    III.   The Board’s Opinion
    The Board opined:
    [T]he WCJ’s findings that Claimant sustained additional work-related
    strains and sprains to various body parts, of which he fully recovered
    and was able to resume his pre-injury work as of Dr. Fayyazi’s June
    2019 opinion was supported by substantial, competent evidence.
    Furthermore, the WCJ thoroughly explained that in addition to other
    objective reasons, he accepted Dr. Fayyazi’s opinions over the opinions
    of Dr. Erickson because Dr. Fayyazi conducted a more thorough
    physical examination of Claimant’s entire body compared to Dr.
    Erickson’s examination of only Claimant’s lumbar spine. This rational
    and objective explanation reveals no error in the WCJ’s credibility
    determinations. Ultimately, since we are able to perform effective
    judicial review of the matter, the WCJ’s Decision was adequately
    reasoned and we determine no error.
    Board’s Op. and Order, 4/15/2021, at 15. Despite Claimant’s contention that
    Employer, here, was required to issue a notice of ability to return to work (NARW)
    pursuant to Section 306(b)(3) of the Workers’ Compensation Act (Act),2 the Board
    2
    Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §512(3).
    7
    stated “no such prerequisite must be met where the [employer] files a termination
    petition alleging full recovery as here. Consequently, [Employer] need not have
    issued a[n] NARW here because it filed a [t]ermination [p]etition.” Id. at 14.
    Accordingly, the Board affirmed the WCJ’s Decision and Order, and
    Claimant now petitions this Court for review of the Board’s Order.
    IV.    Arguments
    A. Claimant’s Arguments
    Claimant argues that the Board erred by affirming the WCJ’s grant of
    the termination petition where Dr. Fayyazi’s original IME report, which was
    accompanied by an NARW, stated that Claimant was not able to return to
    unrestricted work, while the subsequent June 2019 report from Dr. Fayyazi was not
    accompanied by an NARW. Claimant contends that Employer’s use of an NARW
    with Dr. Fayyazi’s original IME report “is an implied admission that it was required
    . . . in the termination petition context.” Claimant’s Br. at 20 n.1. Claimant further
    contends that Dr. Fayyazi’s June 2019 IME report does not state that Claimant is
    fully recovered from all his work injuries. Claimant also suggests that the Act
    requires that an NARW be issued before an employer seeks a change in the status of
    a claimant’s indemnity payments, whether such change is associated with the filing
    of a modification petition, a suspension petition or, as in the instant matter, a
    termination petition.
    In addition, Claimant argues that the Board erred by affirming the
    WCJ’s determination that there was substantial evidence to support the termination
    petition because Dr. Fayyazi’s testimony was equivocal. Claimant contends that it
    was Employer’s burden to prove Claimant’s right knee complaints were not related
    to his accident and that Dr. Fayyazi did not do that. Claimant states that in his April
    8
    2019 report, Dr. Fayyazi did not speculate as to when Claimant would be better and
    that it was not any less speculative for Dr. Fayyazi to assert Claimant was fully
    recovered two months after the IME, once he had had an opportunity to review x-
    rays taken shortly after Claimant’s accident. Claimant adds that he did not have any
    knee symptoms prior to his accident and that his symptoms have continued since the
    accident.
    Moreover, Claimant contends that Dr. Fayyazi’s testimony was
    incompetent, as evidenced by the following: Dr. Fayyazi (1) imposed restrictions
    on Claimant in April 2019; (2) testified that Claimant needed additional medical
    treatment after April 2019; (3) found that Claimant was fully recovered from his
    work injuries in June 2019, even though no other physician testified as to when
    Claimant would no longer require treatment; and (4) found Claimant fully recovered
    as of June 21, 2019, even though he was not seen by any doctor, including Dr.
    Fayyazi, on that date.
    Finally, Claimant argues that the Board erred by affirming the WCJ
    where the WCJ capriciously disregarded supporting evidence of Claimant’s
    additional, disabling injuries and “[t]he WCJ did not hold Employer to its proofs on
    the termination petition.” Claimant’s Br. at 37. Claimant contends that there was
    no competent evidence to contradict Claimant’s medical evidence that he had
    tricompartmental arthritis related to his accident, which continues to disable him and
    requires treatment. Claimant requests that this Court reverse the Board, deny the
    termination petition, and grant the review petition in full.
    B. Employer’s Arguments
    Employer argues that while Claimant attempted to add thirteen
    different diagnoses via his review petition, his medical expert only treated him for
    9
    one of the additional thirteen conditions. Employer contends that Dr. Erickson only
    treated Claimant for his low back and that he only personally diagnosed Claimant’s
    lumbar sprain and strain. Thus, it was Claimant’s doctor’s testimony that was
    equivocal, as he failed to “review any records, could not provide any explanation for
    his causal opinions, and [] had little to no knowledge of his own patient’s condition.”
    Employer’s Br. at 25. Employer adds that the WCJ properly rejected Dr. Erickson’s
    opinions, and the Board did not err when it affirmed the WCJ in this regard.
    Next, Employer contends that the Board did not err when it affirmed
    the WCJ’s findings and credibility determinations relative to its termination petition.
    Employer asserts that Claimant’s arguments against the termination petition
    “misconstrue the facts in the record and misstate relevant case law.” Employer’s Br.
    at 26. Employer argues that, unlike Dr. Erickson, Dr. Fayyazi performed a thorough,
    full examination of Claimant during his IME and provided detailed findings in his
    reports and in his deposition testimony. Employer emphasizes that Dr. Fayyazi
    acknowledged Claimant had ongoing issues relative to his knee and lumbar and
    cervical spine, but he explained that each of these were degenerative in nature and
    not caused by the work accident. In addition, Employer notes that Claimant did not
    rebut most of Dr. Fayyazi’s opinions.
    Employer concedes that Dr. Fayyazi performed his IME of Claimant
    on April 8, 2019, and subsequently rendered his opinion of Claimant’s full recovery
    on June 21, 2019. However, despite Claimant’s protestations to the contrary,
    Claimant “fails to reference any case law that prohibits” the same, and, in fact, “it is
    common and accepted practice for an expert to amend [his] opinions through and
    [sic] addendum report when [he] obtain[s] new information.” Employer’s Br. at 28-
    29. Employer explains that Dr. Fayyazi testified that after the IME, he wanted to be
    10
    able to review films of Claimant’s low back and right knee “to ‘fully clarify what
    type of injury’ [] Claimant sustained” to those particular parts of his body.
    Employer’s Br. at 29. Employer adds that, only as a precaution, did Dr. Fayyazi put
    restrictions on Claimant. Id. Dr. Fayyazi was later provided with the studies which
    he sought and accordingly, “was able to reach the correct diagnoses and opinions”
    which he expressed in his June 21, 2019 addendum report. Id. Employer contends
    that there was nothing speculative about the process engaged in by Dr. Fayyazi,
    despite Claimant’s assertions otherwise.
    Further, Employer argues that there is no requirement for an NARW to
    be issued as part of termination petition proceedings. Employer states that it agrees
    that an NARW is required as a prerequisite to obtaining a modification or a
    suspension of a claimant’s indemnity benefits after a claim has been accepted and
    that the purpose of an NARW is to provide notice to the claimant of new medical
    information about his ability to work and its potential to impact his benefits.
    However, Employer states that it disputes Claimant’s position that Section
    306(b)(3)3 of the Act, 77 P.S. §512(3), requires an NARW whenever a change in a
    medical condition occurs, and it argues that this Court has never adopted that kind
    of “rigid approach, and in fact, has recognized numerous examples when [] [Section]
    3
    Section 306(b)(3) of the Act states:
    If the insurer receives medical evidence that the claimant is able to return to
    work in any capacity, then the insurer must provide prompt written notice, on a
    form prescribed by the department, to the claimant, which states all of the
    following: (i) The nature of the employe’s physical condition or change of
    condition. (ii) That the employe has an obligation to look for available employment.
    (iii) That proof of available employment opportunities may jeopardize the
    employe’s right to receipt of ongoing benefits. (iv) That the employe has the right
    to consult with an attorney in order to obtain evidence to challenge the insurer’s
    contentions.
    11
    [306(b)(3), 77 P.S.] §512(3)[,] does not apply. This is true even when an employer
    seeks to modify or suspend benefits.” Employer’s Br. at 32 (emphasis in original).
    Employer argues that, “[b]y the very nature of a [t]ermination [p]etition, Claimant
    is notified that [Employer] believes [] Claimant has fully recovered from the work
    injury and seeks to cut off all benefits.” Id. at 34. It is “[t]he filing of the petition
    [that] puts [] Claimant on notice.” Id.
    Based on the foregoing, Employer asks this Court to affirm.
    V.     Discussion
    At the outset, we note that in order to terminate benefits, the burden of
    proof is on the employer to establish that the claimant has fully recovered from his
    work-related injury. Udvari v. Workmen’s Comp. Appeal Bd. (USAir, Inc.), 
    705 A.2d 1290
     (Pa. 1997).
    “The NCP can be amended if the claimant files a review petition and
    proves that another injury subsequently arose as a consequence of the original
    injury.” Harrison v. Workers’ Comp. Appeal Bd. (Auto Truck Transp. Corp.), 
    78 A.3d 699
    , 703 (Pa. Cmwlth. 2013) (internal citations omitted). “Generally, if there
    is no obvious relationship between the disability and the work-related cause,
    unequivocal medical testimony is required to meet the burden of proof.” Odd
    Fellow’s Home of Pa. v. Workmen’s Comp. Appeal Bd. (Cook), 
    601 A.2d 465
    , 467
    (Pa. Cmwlth. 1991).
    The WCJ is free to accept or reject, in whole or in part, the testimony
    or opinions of any witness, including medical witnesses. Greenwich Collieries v.
    Workmen’s Comp. Appeal Bd. (Buck), 
    664 A.2d 703
     (Pa. Cmwlth. 1995).
    Determinations of credibility and weight to be accorded evidence are the prerogative
    12
    of the WCJ, not the Board or the Commonwealth Court. Vols v. Workmen’s Comp.
    Appeal Bd. (Alperin, Inc.), 
    637 A.2d 711
     (Pa. Cmwlth. 1994).
    In a substantial evidence analysis where both parties present evidence,
    it is immaterial that there is evidence in the record that supports a factual finding
    contrary to that made by the WCJ; rather, the pertinent inquiry is whether there is
    any evidence which supports the WCJ’s factual finding. Hoffmaster v. Workers’
    Comp. Appeal Bd. (Senco Prods., Inc.), 
    721 A.2d 1152
    , 1155 (Pa. Cmwlth. 1998).
    In the instant matter, after analyzing the evidence, the WCJ determined
    that Dr. Fayyazi’s testimony was more credible than Dr. Erickson’s testimony, and
    he adequately explained his reasons for reaching this determination. The medical
    testimony was critical to the outcome here, both on the review petition and on the
    termination petition. Dr. Fayyazi’s credited opinions reasonably supported adding
    injuries to Claimant’s original claim, via the review petition, as well as terminating
    Claimant’s benefits as of June 21, 2019. Thus, the Board did not err by affirming.
    See Joy Mining Mach. v. Workers’ Comp. Appeal Bd. (Noggle), 
    805 A.2d 1279
    , 1281
    (Pa. Cmwlth. 2002) (“If the credited evidence constitutes substantial evidence, the
    [WCJ’s] findings will not be disturbed even though there may be evidence to the
    contrary.”).
    We reject Claimant’s assertion that Dr. Fayyazi’s June 2019 addendum
    report was somehow speculative in nature because he waited to state that Claimant
    was fully recovered from his work injuries until after he had an opportunity to review
    x-ray films that were not available to him at the April 2019 IME. Dr. Fayyazi acted
    conservatively and with caution, not speculatively as Claimant suggests.          Dr.
    Fayyazi gave Claimant the benefit of the doubt until he had an opportunity to review
    the films, and once he did, he was able to conclude that Claimant had fully recovered
    13
    from his work injuries. It was not inappropriate for Dr. Fayyazi to have taken this
    approach.4 Further, although Dr. Fayyazi acknowledged Claimant continued to have
    various medical issues, he credibly determined that any such remaining issues were
    unrelated to the work accident.
    In addition, Claimant’s argument that Employer was required to issue
    an NARW is equally unavailing. There is no requirement that an employer issue an
    NARW, other than in the context of obtaining a modification or suspension of a
    claimant’s benefits. See 77 P.S. §512(3), which specifically relates to compensation
    for partial disabilities. The NARW requirement does not apply to terminations and
    the Act contains no similar provision where an employer alleges a complete
    recovery. Moreover, as Employer correctly argues, there are instances, even within
    the context of a modification or suspension, where an NARW is not required, such
    as times when a claimant’s restrictions are only slightly modified or when an
    employee is put on notice of an ability to return to work with restrictions by his own
    treating physician. See Smith v. Workers’ Comp. Appeal Bd. (Caring Companions,
    Inc.), 
    55 A.3d 181
     (Pa. Cmwlth. 2012). As Employer states: “By the nature of a
    [t]ermination [p]etition, [c]laimant is notified that the employer believes the
    4
    As the Board noted in its Opinion and Order, and we reiterate for our purposes here:
    [N]o case law has been brought to our attention which requires a subsequent IME
    to be performed where a medical expert alters his opinion based on additional
    information. Rather, we observe that it is not an uncommon practice for medical
    experts to render addendums to their original IME reports where they obtain
    additional information which effects their medical opinion. See Morrison v.
    Workers’ Comp. Bd. of Appeal (Rothman Inst.), 
    15 A.3d 93
     (Pa. Cmwlth. 2010)
    (ruling that a medical expert’s addendum report indicating that the claimant’s lower
    back issues were due to a pre[]existing condition[,] after receiving MRIs and
    additional facts indicating a history of chronic low back pain, was competent).
    Board Op. and Order, 4/15/2021, at 10.
    14
    claimant has fully recovered from the work injury and seeks to cut off all benefits.
    The filing of the petition puts the [c]laimant on notice.” Employer’s Br. at 34
    (emphasis omitted). We agree and accordingly, conclude that no NARW was
    required in the instant matter.
    VI.   Conclusion
    Because the Board affirmed the WCJ’s Decision and Order, which was
    based on substantial, competent evidence, and we detect no error of law, the Board’s
    order is affirmed.
    _____________________________________
    BONNIE BRIGANCE LEADBETTER,
    President Judge Emerita
    15
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Eddie Johnson,                         :
    Petitioner      :
    :
    v.                    :   No. 464 C.D. 2021
    :
    Driversource, Inc.                     :
    (Workers’ Compensation Appeal          :
    Board),                                :
    Respondent      :
    ORDER
    AND NOW, this 24th day of February, 2022, the April 15, 2021 Order
    of the Workers’ Compensation Appeal Board is AFFIRMED.
    _____________________________________
    BONNIE BRIGANCE LEADBETTER,
    President Judge Emerita