Baxter, Shanta v. Federal Express Corp. , 2021 TN WC 237 ( 2021 )


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  •                                                                                     FILED
    Oct 20, 2021
    08:17 AM(CT)
    TENNESSEE COURT OF
    WORKERS' COMPENSATION
    CLAIMS
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION CLAIMS
    IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
    AT MURFREESBORO
    SHANTA BAXTER,                               ) Docket No. 2020-05-0697
    Employee,                            )
    v.                                           )
    )
    FEDERAL EXPRESS CORP.,                       ) State File No. 98745-2017
    Employer,                            )
    And                                          )
    )
    AGRI GENERAL INS. CO.,                       ) Judge Dale Tipps
    Insurance Carrier.               )
    EXPEDITED HEARING ORDER GRANTING BENEFITS
    (DECISION ON THE RECORD)
    The Court considered Ms. Baxter’s expedited hearing on the record without an in-
    person hearing on October 19, 2021. The issue is whether Ms. Baxter is likely to prove at
    trial that she is entitled to a psychiatric panel, based on a referral from her authorized
    treating physician. For the reasons below, the Court holds that Ms. Baxter is entitled to the
    requested panel.
    History of Claim
    This is the second expedited hearing in this case. Most recently, the Court issued
    an Expedited Hearing Order on July 21, 2021, denying Ms. Baxter’s request for psychiatric
    treatment. This was because Dr. Crosby’s August 2, 2019, note only stated: “She is having
    psychological stress due to the failure of her to improve from her work-related injury and
    has requested to see a psychiatrist which is reasonable.” The Court held that, “Dr. Crosby’s
    mere agreement with the reasonableness of Ms. Baxter’s desire to see a psychiatrist is
    insufficient to require FedEx to provide a panel.”
    With this second hearing request, Ms. Baxter filed a July 30, 2021 note from Dr.
    Crosby that clarified: “I am referred [sic] Shata Baxter to psychiatry due to the
    psychological stress she is enduring due to her work related injury. It is reasonable to get
    her in with a psychiatrist in order to assist her with this.”
    The Court found it appropriate to decide the issues in this case upon a review of the
    written materials and without an evidentiary hearing. A docketing notice identified the
    documents to be considered and allowed the parties to file position statements and any
    objections to the admissibility of those materials.
    FedEx filed an additional position statement, an objection to Ms. Baxter’s new
    medical evidence, and a questionnaire completed by Dr. Crosby. That questionnaire asked
    whether Ms. Baxter’s need for psychiatric treatment stemmed from her inability to find a
    job after she reached maximum medical improvement. Dr. Crosby responded, “Yes.” He
    then responded “No” when asked whether her current need for psychiatric treatment was
    primarily related to her work injury.
    Findings of Fact and Conclusions of Law
    In this expedited hearing, Ms. Baxter must provide sufficient evidence from which
    this Court might determine she is likely to prevail at a hearing on the merits. See 
    Tenn. Code Ann. § 50-6-239
    (d)(1) (2020); McCord v. Advantage Human Resourcing, 2015 TN
    Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015).
    Ms. Baxter seeks an order for psychiatric treatment. Tennessee Code Annotated
    section 50-6-204(h) provides: “All psychological or psychiatric services available under
    subdivisions (a)(1) and (b)(1) shall be rendered only by psychologists or psychiatrists and
    shall be limited to those ordered upon the referral of physicians authorized under
    subdivision (a)(4).”
    FedEx contended that Ms. Baxter is not entitled to the requested treatment because
    her need for that treatment is not compensable. It principally relied on Tennessee Code
    Annotated section 50-6-102(17), which specifies that a psychiatric response to the loss of
    employment or employment opportunities does not constitute a compensable injury.
    FedEx also argued that the only medical proof of causation is Dr. Crosby’s opinion that the
    need for psychiatric treatment is not primarily related to Ms. Baxter’s work injury.
    Much like the employer in Beech v. G4S Secure Solutions (USA), TN Wrk. Comp.
    App. Bd. LEXIS 71 (Dec. 16, 2020), FedEx “misconstrues the burden of proof and
    misstates the relevant issue. The issue is not whether Employee has come forward with
    sufficient evidence to convince the trial court that the referral was medically necessary or
    that his alleged psychological injury is causally related to the work incident.” 
    Id.
     at at *9.
    Neither causation nor necessity are Ms. Baxter’s burden to prove at this stage. “Instead,
    the relevant issue is whether [she] came forward with sufficient proof from which the trial
    court could conclude a panel-selected treating physician made a referral to a specialist.”
    
    Id.
     Thus, the only issue before the Court at this time is whether Dr. Crosby made a
    psychiatric referral.1
    Dr. Crosby’s July 30 note provides an answer to this question: he unambiguously
    referred Ms. Baxter for psychiatric evaluation and treatment. He did not retract the referral
    in his later response to the questionnaire. Instead, he offered his opinions on causation and
    the source of her alleged psychiatric issues. As those opinions are irrelevant at this stage
    under Beech; Ms. Baxter is likely to prevail at trial that she is entitled to a psychiatric panel.
    IT IS, THEREFORE, ORDERED as follows:
    1. FedEx shall provide Ms. Baxter with medical treatment made reasonably necessary
    by her December 18, 2017 injury, including a psychiatric panel.
    2. This case is set for a Status Hearing on January 12, 2022, at 9:00 a.m. Please call
    toll-free at 855-874-0473 to participate. Failure to call or appear might result in a
    determination of the issues without your further participation. All conferences are
    set using Central Time.
    3. Unless interlocutory appeal of the Expedited Hearing Order is filed, compliance
    with this Order must occur no later than seven business days from the date of entry
    of this Order as required by Tennessee Code Annotated section 50-6-239(d)(3). The
    Insurer or Self-Insured Employer must submit confirmation of compliance with this
    Order to the Bureau by email to WCCompliance.Program@tn.gov no later than the
    seventh business day after entry of this Order. Failure to submit the necessary
    confirmation within the period of compliance might result in a penalty assessment
    for non-compliance. For questions regarding compliance, please contact the
    Workers’        Compensation       Compliance       Unit      via     email      at
    WCCompliance.Program@tn.gov.
    ENTERED October 20, 2021.
    _____________________________________
    Judge Dale Tipps
    Court of Workers’ Compensation Claims
    1
    This case is similar to Beech, in that the authorized doctor in that case also answered a later questionnaire
    with his opinion that the need for psychiatric referral did not primarily arise out of the work injury.
    Presumably, the Appeals Board concluded that questions of medical causation were better addressed by
    qualified psychiatrists but, in any event, it found that the referring physician’s causation opinion did not
    overcome the presumption of medical necessity attached to his original referral.
    APPENDIX
    Exhibits:
    1. Ms. Baxter’s Affidavit
    2. Dr. Samuel Crosby’s October 31, 2019 progress note
    3. Dr. Colin Crosby’s August 2, 2019 progress note
    4. Medical appointment documents
    5. Dr. Crosby’s July 30, 2021 psychiatric referral note.
    6. Ms. Baxter’s September 13, 2021 Rule 72 Declaration
    7. Dr. Crosby’s August 31, 2021 response to questionnaire
    Technical record:
    1. Petition for Benefit Determination
    2. Dispute Certification Notice
    3. First Request for Expedited Hearing
    4. FedEx’s Pre-Expedited Hearing Statement
    5. September 15, 2021 Expedited Hearing Request
    6. October 4, 2021 Docketing Notice
    7. FedEx’s October 11, 2021 Position Statement.
    CERTIFICATE OF SERVICE
    I certify that a copy of the Expedited Hearing Order was sent as indicated on October
    20, 2021.
    Name                      Certified   Fax     Email    Service sent to:
    Mail
    Shanta Baxter,               X                  X      3000 Windsor Drive
    Employee                                               Columbia, TN 38401
    shayb301@yahoo.com
    James Tucker,                                   X      jtucker@manierherod.com
    Employer’s Attorney                                    cc: dstevens@manierherod.com
    ______________________________________
    PENNY SHRUM, COURT CLERK
    wc.courtclerk@tn.gov
    

Document Info

Docket Number: 2020-05-0697

Citation Numbers: 2021 TN WC 237

Judges: Dale Tipps

Filed Date: 10/20/2021

Precedential Status: Precedential

Modified Date: 11/1/2021