Baumgardner, William v. UPS , 2017 TN WC 123 ( 2017 )


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  •             TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
    AT MURFREESBORO
    WILLIAM BAUMGARDNER,                                    Docket No.: 2015-05-0619
    Employee,
    v.
    UPS,                                                    State File No.: 89624-2014
    Employer,
    And
    LIBERTY MUTUAL,                                         Judge Dale Tipps
    Insurance Carrier.
    COMPENSATION HEARING ORDER
    This matter came before the undersigned Workers’ Compensation Judge on June
    20, 2017, for a Compensation Hearing pursuant to Tennessee Code Annotated section 50-
    6-239 (2016). The central legal issues are: (1) whether William Baumgardner is
    permanently and totally disabled as a result of his injuries; (2) if he is not totally disabled,
    to what permanent partial disability benefits is he entitled; and (3) whether he is entitled
    to a new panel of orthopedic physicians. For the reasons set forth below, the Court holds
    that Mr. Baumgardner established by a preponderance of the evidence that he sustained a
    compensable left-knee injury and is entitled to medical benefits, including a panel of
    orthopedic specialists. The Court further holds Mr. Baumgardner failed to meet his
    burden of establishing entitlement to permanent disability benefits.
    History of Claim
    Stipulations
    UPS stipulated to the following: Mr. Baumgardner sustained a compensable injury
    by accident arising out of and in the course and scope of his employment as a delivery
    driver on November 11, 2014. He gave proper notice of the injury and received
    authorized medical treatment with Dr. James Rungee. UPS further stipulated that it was
    unable to return Mr. Baumgardner to work because of the permanent restrictions assigned
    1
    by Dr. Rungee.
    Mr. Baumgardner’s Trial Testimony
    Mr. Baumgardner testified that he never had any left-knee problems or medical
    treatment prior to November 11, 2014. While delivering a package on that day, he
    defended himself from an aggressive dog. He twisted his left knee in the process and felt
    immediate pain. He tried to keep working but soon had to call his supervisor, who sent a
    replacement driver and took Mr. Baumgardner for medical treatment with Dr. Martin
    Glynn. After treating Mr. Baumgardner for a few days, Dr. Glynn ordered a left-knee
    MRI, which led to an orthopedic referral. UPS provided an orthopedic panel, from which
    Mr. Baumgardner selected Dr. James Rungee.
    Mr. Baumgardner saw Dr. Rungee several times but said his bedside manner “left
    a lot to be desired.” He felt that Dr. Rungee was rushed and uninterested in discussing
    his condition. He estimated Dr. Rungee spent about ten minutes with him at each visit.1
    After Dr. Rungee assigned permanent restrictions in April 2015, UPS asked Mr.
    Baumgardner to go through their Americans with Disabilities Act process. He did so, but
    UPS was unable to accommodate his restrictions. As a result, Mr. Baumgardner
    requested his pension and retired from UPS, although he had intended to work at least ten
    more years until he was sixty-seven. He has not worked anywhere since then. He has
    not sought work anywhere else because he does not feel he is able to work in light of Dr.
    Rungee’s restrictions.
    Medical Records and Deposition Testimony
    Mr. Baumgardner first saw Dr. Rungee on December 8, 2014, for complaints of
    aching pain in the lateral aspect of his left knee. Dr. Rungee noted very little effusion
    and no medial tenderness. However, Mr. Baumgardner was “tender along the course of
    the lateral collateral ligament and has pain with stress of that. He has a negative drawer
    or Lachman. He can flex to 120 degrees and fully extend.” The MRI showed “some
    edema in the lateral collateral ligament as well as over the lateral femoral condyle
    consistent with a stress injury to that side. He is also noted to have a medial meniscus
    tear.” Dr. Rungee diagnosed a lateral collateral ligament strain, lateral femoral condyle
    contusion, and medial meniscus tear. He told Mr. Baumgardner that his lack of medial
    symptoms “may suggest that his medial meniscus tear was preexistent to the injury.” He
    also recommended a knee brace and additional physical therapy. Dr. Rungee noted a
    brief discussion about an arthroscopy as the usual treatment for a medial meniscus tear,
    but he “would not consider doing that unless this was symptomatic.”
    1
    This testimony was echoed by Kathy McBroom, who attended all of his medical appointments.
    2
    Dr. Rungee saw Mr. Baumgardner several times over the next few months. He
    continued to provide conservative treatment, such as physical therapy and injections. He
    also consistently observed no medial pain or tenderness. Following a functional capacity
    evaluation (FCE), Mr. Baumgardner last saw Dr. Rungee on April 1, 2015. Dr. Rungee
    noted no malalignment, no effusion, and 130 degrees of flexion. His impression was
    “left knee strain with asymptomatic degenerative medial meniscus tear.” He reviewed
    the FCE, placed Mr. Baumgardner in the medium physical demand category, and
    recommended only occasional squatting and climbing. Dr. Rungee found that Mr.
    Baumgardner had reached maximum medical improvement (MMI) and said he retained
    no permanent impairment.
    Dr. Rungee testified that his final diagnosis was “left knee strain with
    asymptomatic degenerative medial meniscus tear.”          He felt that, because Mr.
    Baumgardner never had any medial symptoms, the medial meniscus tear must have pre-
    existed the work accident. He noted that cysts such as the one on Mr. Baumgardner’s
    MRI usually take time to form, which was indicative of a chronic injury rather than an
    acute one. He also said the McMurray’s test, which checks for an unstable meniscus tear,
    was negative. Dr. Rungee further explained that “most people that have a symptomatic
    meniscus tear get remarkably better for a period of weeks” with an injection, and Mr.
    Baumgardner got no relief from his.
    In addressing permanent impairment, Dr. Rungee testified there are two methods
    of assigning impairment pursuant to the Sixth Edition of the American Medical
    Association’s Guides to the Evaluation of Permanent Impairment (AMA Guides). One
    method is a diagnosis-based impairment (DBI) rating. Applying the DBI, the only rating
    applicable to Mr. Baumgardner would be a Class I rating for the meniscal tear, but Dr.
    Rungee did not assign that rating because the tear was not related to the work injury.
    Applying the other range-of-motion (ROM) methodology yielded no permanent
    impairment either. This was because the lowest category of disability requires range of
    motion of less than 110 degrees flexion. Because Mr. Baumgardner’s flexion never met
    that threshold, Dr. Rungee felt he was not entitled to any loss of motion impairment.
    To counter Dr. Rungee’s opinion, Mr. Baumgardner went to Dr. Stephen Neely for
    an independent medical evaluation (IME) on May 27, 2016. Dr. Neely’s report shows he
    examined Mr. Baumgardner and reviewed his medical records. He noted tenderness at
    the posteriomedial corner, tenderness over the lateral collateral ligament, and a trace
    effusion. Other tests were negative and the left knee flexion was 115 degrees. Dr. Neely
    concluded, “I think this gentleman did sustain injuries to the left knee in this accident in
    trying to evade a dog during delivery.” Per the DBI of the AMA Guides, he assigned a
    one percent whole-person impairment for the meniscal tear. However, “if we were to
    use” ROM:
    3
    A mild impairment in flexion is noted in the edition as being 80
    degrees to 109 degrees and would be 10 percent to the lower extremity.
    [Mr. Baumgardner] falls just outside of that range in the range of 112 to
    114 degrees which still is considerably impaired as opposed to the [right
    knee.] If we just used a straight mathematical ratio this would give him 8
    percent to the involved lower extremity simply in the loss of flexion. . . . I
    think this amount of flexion is pertinent in that he is unable to squat. He
    needed to squat to be able to perform his job. This lack of flexion
    prevented him from returning to his full duty.
    In his deposition, Dr. Neely reiterated the findings in his report. When asked
    whether he had “a diagnosis for Mr. Baumgardner as it relates to his November 2014
    injury,” he testified, “I do not.” However, he did state that the primary finding was lack
    of flexion, along with a small effusion and pain in the joint lines behind the lateral
    collateral ligament, and that this finding was consistent with the work injury. His
    rationale for assigning an impairment rating outside the AMA Guides was, with Mr.
    Baumgardner’s loss of range of motion, “I think there is some impairment inherent in his
    knee.”
    On cross-examination, Dr. Neely was asked to confirm that he did not have a
    diagnosis for Mr. Baumgardner’s November 2014 injury. He responded: “I just assume
    the MRI injury findings were secondary to his injury. That’s the way I rated him.”
    Although he felt the pain on the posterior medial joint line was indicative of the medial
    meniscal tear, he admitted that none of Dr. Rungee’s examinations resulted in any
    findings consistent with an acute medial meniscal tear. He also stated he had no reason
    to doubt Dr. Rungee’s conclusion that the meniscal tear pre-dated the work injury, and he
    testified that degenerative tears are not uncommon in men of Mr. Baumgardner’s age. He
    agreed that Dr. Rungee’s zero percent DBI rating would be correct if the meniscal tear
    was not work-related.
    Dr. Neely also testified at length about his ROM impairment rating. He agreed
    that the 130 degree of flexion observed by Dr. Rungee on the MMI date constituted a
    normal range of motion. He also admitted that, under the applicable table in the AMA
    Guides, none of Mr. Baumgardner’s flexion measurements, whether from Dr. Rungee,
    Dr. Neely, or the FCE, would support any impairment rating. However, because the
    measurements of 112 degrees from the FCE and the 115 degrees he measured were not
    normal, he felt it appropriate to compare 115 degrees with a normal rating of 145, a
    reduction of approximately twenty percent. Based on that difference, he reduced the
    lowest ROM rating in the AMA Guides (ten percent) by the same percentage, which is
    how he reached his eight percent rating.
    At the Compensation Hearing, Mr. Baumgardner asserted he is entitled to
    4
    permanent total disability (PTD) benefits for his leg injury arising primarily out of and in
    the course and scope of his employment. In the alternative, he contended he is entitled to
    permanent partial disability (PPD) benefits. In support of these contentions, he relied on
    the opinion of Dr. Neely and denied the validity of Dr. Rungee’s opinions for a variety of
    reasons detailed below. He also argued that Dr. Rungee’s opinion is not entitled to a
    presumption of correctness.
    UPS countered that Mr. Baumgardner is not entitled to PTD benefits because he
    presented no proof that he is totally disabled from working. It argued further that Mr.
    Baumgardner is not entitled to any disability benefits. It relied on Dr. Rungee’s opinion,
    arguing that, as a panel physician, Dr. Rungee’s causation and impairment opinions are
    presumed to be correct.
    Findings of Fact and Conclusions of Law
    The following legal principles govern this case. Mr. Baumgardner has the burden
    of proof on all essential elements of his claim. Scott v. Integrity Staffing Solutions, 2015
    TN Wrk. Comp. App. Bd. LEXIS 24, at *6 (Aug. 18, 2015). “[A]t a compensation
    hearing where the injured employee has arrived at a trial on the merits, the employee
    must establish by a preponderance of the evidence that he or she is, in fact, entitled to the
    requested benefits.” Willis v. All Staff, 2015 TN Wrk. Comp. App. Bd. LEXIS 42, at *18
    (Nov. 9, 2015); see also Tenn. Code Ann. § 50-6-239(c)(6) (2016) (“[T]he employee
    shall bear the burden of proving each and every element of the claim by a preponderance
    of the evidence.”).
    Compensability of the Meniscal Tear
    Mr. Baumgardner’s burden includes proving his injury arose primarily out of and
    in the course and scope of the employment. Although UPS stipulated to the
    compensability of the injury, they denied that the medial meniscus tear occurred at that
    time. Thus, to meet this part of his burden, Mr. Baumgardner must show his torn medial
    meniscus injury was “caused by a specific incident, or set of incidents, arising primarily
    out of and in the course and scope of employment, and is identifiable by time and place
    of occurrence.” Further, he must show, “to a reasonable degree of medical certainty that
    it contributed more than fifty percent (50%) in causing the . . . disablement or need for
    medical treatment, considering all causes.” Tenn. Code Ann. § 50-6-102(14) (2016).
    Before considering the medical opinions in this case, the Court must first address
    the issue of whether Dr. Rungee’s opinion is entitled to a statutory presumption of
    correctness. Tennessee Code Annotated section 50-6-102(14)(E) establishes a rebuttable
    presumption of correctness for a causation opinion given by an authorized panel
    physician. Mr. Baumgardner admitted selecting Dr. Rungee from a list of doctors but
    5
    contended the panel was invalid. The Court agrees.
    Tennessee Code Annotated section 50-6-204(a)(3)(A)(i) provides:
    The injured employee shall accept the medical benefits afforded
    under this section; provided that in any case when the employee has
    suffered an injury and expressed a need for medical care, the employer shall
    designate a group of three (3) or more independent reputable physicians,
    surgeons, chiropractors or specialty practice groups if available in the
    injured employee’s community or, if not so available, in accordance with
    subdivision (a)(3)(B),2 from which the injured employee shall select one (1)
    to be the treating physician.
    Mr. Baumgardner lives in Murfreesboro, Tennessee. The list of orthopedic
    specialists provided by UPS included one Murfreesboro doctor, Dr. Rungee. The other
    specialists on the list practice in Winchester and McMinnville, which are each
    approximately fifty miles from Murfreesboro. These options do not constitute a
    physician practicing “in the injured employee’s community.” Because UPS presented no
    evidence that an insufficient number of doctors was available in Murfreesboro or its
    immediate vicinity, the Court holds that the list of physicians was insufficient to entitle
    Dr. Rungee to the presumption of correctness established in section 50-6-102(14)(E).
    In the absence of a presumption favoring one doctor over the other, the Court
    notes longstanding Tennessee case law, which provides:
    When the medical testimony differs, the trial judge must obviously
    choose which view to believe. In doing so, he is allowed, among other
    things, to consider the qualifications of the experts, the circumstances of
    their examination, the information available to them, and the evaluation of
    the importance of that information by other experts.
    Orman v. Williams Sonoma, Inc., 
    803 S.W.2d 672
    , 676 (Tenn. 1991); see also Darraj v.
    McKee Foods Corp., 2017 TN Wrk. Comp. App. Bd. LEXIS 4, at *13-14 (Jan. 17, 2017).
    Applying the first of these factors, the Court notes that both physicians are
    experienced, board-certified orthopedic surgeons. A review of their respective curricula
    vitae shows that each doctor has significant experience upon which to draw in their
    evaluations. The Court finds that both doctors are well qualified and the differences in
    their qualifications are not determinative.
    2
    Subsection (a)(3)(B) provides an alternate procedure if three or more independent reputable physicians, surgeons,
    chiropractors or specialty practice groups are not available in the injured employee’s community.
    6
    Similarly, the other listed factors favor neither doctor.         Regarding the
    circumstances of the evaluation, there is no question that Dr. Neely performed a careful
    and thorough examination.        While Mr. Baumgardner questioned Dr. Rungee’s
    thoroughness, the medical records show he had the opportunity to observe Mr.
    Baumgardner’s knee several times over the course of four months, beginning less than a
    month after the injury. Further, his office notes document a quantity of tests and
    carefully relate Mr. Baumgardner’s symptoms during that period. As Dr. Neely testified
    he reviewed Dr. Rungee’s records, the information available to the doctors appears to be
    nearly identical.
    The Court must therefore focus on the doctors’ reasoning and their explanation of
    their conclusions. Dr. Rungee consistently stated in his treatment notes that Mr.
    Baumgardner exhibited no medial pain or other symptoms. He explained, both to Mr.
    Baumgardner during his treatment and in his report and deposition, that he felt this was
    evidence that the tear pre-existed the work injury. He noted that the McMurray test was
    negative and that the injection provided no relief. Dr. Rungee further explained that the
    cyst shown on the MRI provided additional evidence of a chronic tear, rather than a
    recent acute event.
    In reviewing Dr. Neely’s testimony, it is not entirely clear whether he ever
    actually offered an opinion on the cause of the meniscus tear, much less an opinion that
    the work injury was the primary cause. Although he said Mr. Baumgardner “did sustain
    injuries to the left knee in this accident,” he did not specify whether those injuries
    included the meniscal tear. Further, he testified that he did not actually have a diagnosis
    but just assumed the MRI findings were secondary to the work injury. Notably, Dr.
    Neely did not dispute Dr. Rungee’s conclusion, admitted that he had no reason to doubt
    it, and acknowledged that none of Dr. Rungee’s examinations indicated an acute medial
    meniscal tear.
    Mr. Baumgardner contended that Dr. Rungee’s conclusions were unreliable
    because the doctor ignored his history of no prior left knee injuries. He argued that this
    constituted a failure to abide by the “Clinical Evaluation” section of the Guides’
    instructions for preparing reports, found on page twenty-eight of the Guides.
    Specifically, Mr. Baumgardner insisted Dr. Rungee failed to discuss any medical history
    inconsistencies with him during the examination, as required by the Guides before
    preparing his final report. The Court finds this argument unpersuasive.
    First, the Guides actually require the doctor to clarify and reconcile any
    inconsistencies between the “history provided by the patient and the history contained in
    the medical records.” Mr. Baumgardner identified no inconsistencies between the history
    he gave Dr. Rungee and his medical records that needed to be reconciled. This is
    unsurprising, since Dr. Rungee, as the treating physician, was the source of most of the
    7
    medical records. Instead, Mr. Baumgardner identified the inconsistency as the fact that
    he had no “history of a pre-existing condition.” The mere fact that he had no such history
    is not inconsistent with the fact that Dr. Rungee appears to have been the first to diagnose
    the meniscus tear as pre-existing. Further, to the extent Mr. Baumgardner appears to
    contend that Dr. Rungee ignored or did not believe his history of no prior left-knee
    injuries, Dr. Rungee’s records do not support such an assertion. His first office note and
    his final report both reflect Mr. Baumgardner’s denial of any previous injury. The Court
    is unable to infer that Dr. Rungee ignored or disbelieved Mr. Baumgardner’s history of
    no prior injury simply because he concluded that the meniscus tear was degenerative.
    After careful consideration of the factors set out in Orman, as well as the doctors’
    explanation of their conclusions, the Court finds Dr. Rungee’s causation opinion to be
    more persuasive than that of Dr. Neely. As a result, Mr. Baumgardner has not met his
    burden of proving by a preponderance of the evidence that his medial meniscus tear arose
    primarily out of and in the course and scope of his employment with UPS.
    Permanent Disability Benefits
    Mr. Baumgardner seeks PTD benefits. Tennessee Code Annotated section 50-6-
    207(4)(B) provides: “When an injury not otherwise specifically provided for in this
    chapter totally incapacitates the employee from working at an occupation that brings the
    employee an income, the employee shall be considered totally disabled[.]” The
    assessment of permanent total disability is based upon numerous factors, including the
    employee’s skills and training, education, age, local job opportunities, and the capacity to
    work at the kinds of employment available in the disabled condition. Roberson v. Loretto
    Casket Co., 
    722 S.W.2d 380
    , 384 (Tenn. 1986); McIlvain v. Russell Stover Candies, Inc.,
    
    996 S.W.2d 179
    , 183 (Tenn. 1999).
    Mr. Baumgardner presented no expert vocational proof, although he did testify as
    to his work history, age, and education. He also indicated his belief that he was unable to
    work at any job because of Dr. Rungee’s permanent restrictions. However, he presented
    no evidence of local job opportunities and, other than his own opinion, no evidence of his
    capacity to work at the kinds of employment available in his disabled condition. Further,
    the only disabling condition identified by Mr. Baumgardner was his left knee. Although
    UPS had no work for him within his restrictions, the evidence presented is insufficient for
    the Court to conclude Mr. Baumgardner is incapable of working at any occupation that
    would bring him an income.
    In the alternative to a finding of total disability, Mr. Baumgardner seeks PPD
    benefits. PPD benefits are owed when an employee sustains a permanent impairment
    from a work injury but is still able to work. See Tenn. Code Ann. § 506-207(3)(A)
    (2017).
    8
    There are several medical impairment ratings to consider – Dr. Rungee’s zero
    percent ratings and Dr. Neely’s ratings of one percent under the DBI method and eight
    percent under the ROM method. Starting with Dr. Neely’s DBI rating, the Court notes
    that he based this solely on the diagnosis of Mr. Baumgardner’s medial meniscus tear.
    As the Court has already found that Mr. Baumgardner has not proven the compensability
    of this tear, the accompanying DBI rating is inapplicable to any determination of PPD.
    Regarding Dr. Neely’s ROM rating, the Court notes the Guides state on page 497
    that DBI is the primary method for evaluation of leg injuries and that ROM should only
    be used “to determine actual impairment values when it is not possible to otherwise
    define impairment.” Dr. Neely did not provide an explanation to show why it was not
    possible to define impairment in Mr. Baumgardner’s case. Rather, it appears he simply
    used ROM because he felt Mr. Baumgardner’s condition merited more impairment than
    that provided under the DBI method. The Court finds the evidence presented on this
    issue to be insufficient to justify an award of PPD benefits based on Mr. Baumgardner’s
    range-of-motion.
    Even if a ROM evaluation were merited in this case, both Dr. Rungee and Dr.
    Neely agreed that Mr. Baumgardner did not qualify for any permanent impairment under
    the ROM section of AMA Guides. Dr. Neely, however, felt that some degree of
    impairment was appropriate because Mr. Baumgardner’s range-of-motion was not
    normal, even if it did not meet the Guides’ threshold.
    The Court is sympathetic to Dr. Neely’s concerns, but Tennessee Code Annotated
    section 50-6-204(d)(B) provides that: “No anatomical impairment or impairment rating . .
    . shall be . . . admissible into evidence at the trial of a workers’ compensation matter
    unless the impairment is based on the applicable edition of the AMA Guides or, in cases
    not covered by the AMA Guides, an impairment rating by any appropriate method used
    and accepted by the medical community.” Thus, the only exception provided by the
    statute is a case “not covered by the AMA Guides,” and Mr. Baumgardner’s case, a knee
    injury, is covered by the AMA Guides. Further, even if Mr. Baumgardner’s leg injury
    were not covered, he presented no evidence that Dr. Neely’s approach was an
    “appropriate method used and accepted by the medical community.” For these reasons,
    the Court cannot accept Dr. Neely’s rating.
    Mr. Baumgardner pointed out that, regardless of any permanent impairment rating,
    he has significant permanent restrictions as a result of his work accident that have
    severely limited his employment opportunities. He argued that impairment is only one
    element of vocational disability and an employee with no rating but narrow restrictions
    may still qualify for PPD benefits. The Court recognizes the apparent conflict between a
    zero rating and permanent lifting restrictions, as well as the likelihood of vocational
    9
    disability caused by those restrictions, but finds no statutory authority for awarding (or a
    method for calculating) PPD benefits without a medical impairment rating. The cases
    cited by Mr. Baumgardner were decisions under prior law, which was fundamentally
    different from the current statute that provides partial disability “shall be determined by
    multiplying the employee’s impairment rating by four hundred fifty (450) weeks.”
    (Emphasis added.)
    Based on the foregoing, and in the absence of any credible medical impairment
    rating, the Court cannot find Mr. Baumgardner has met his burden of establishing
    entitlement to PPD benefits.
    Medical Benefits
    Under the Workers’ Compensation Law, “the employer or the employer’s agent
    shall furnish, free of charge to the employee, such medical and surgical treatment . . .
    made reasonably necessary by accident[.]” Tenn. Code Ann. § 50-6-204(a)(1)(A).
    Employers are also required to offer a panel of physicians “from which the injured
    employee shall select one (1) to be the treating physician.” Tenn. Code Ann. § 50-6-
    204(a)(3)(A)(i). As noted above, the panel from which Mr. Baumgardner selected Dr.
    Rungee was technically invalid. As a result, Mr. Baumgardner contends he is entitled to
    a new panel. UPS acknowledges Mr. Baumgardner’s right to continuing medical
    treatment but insists this should be provided by Dr. Rungee.
    Mr. Baumgardner’s request raises the following question – is an employee entitled
    to a new panel when an employer’s panel is flawed, but the employee acquiesced to
    treatment with the selected physician? Mr. Baumgardner provided no case authority
    addressing this exact issue, and the Court has identified none. In the absence of any
    controlling authority, the Court must look to the statute itself. In Petty v. Convention
    Production Rigging, Inc., 2016 TN Wrk. Comp. App. Bd. LEXIS 95, at *20 (Dec. 29,
    2016), the Appeals Board wrote:
    [o]ur role in construing a statute is to ascertain and give effect to the
    legislative intent without unduly restricting or expanding a statute’s
    coverage beyond its intended scope. To do so, we focus initially on the
    statute’s words, giving these words their natural and ordinary meaning in
    light of their statutory context. We must avoid any forced or subtle
    construction that would limit or extend the meaning of the language. Every
    word in a statute is presumed to have meaning and purpose, and the statute
    must be construed in its entirety.
    Applying this approach, the Court notes that section 50-6-204(a)(3)(A)(i) requires
    that an employer “shall designate a group of three (3) or more independent reputable
    10
    physicians . . . if available in the injured employee’s community.” Because UPS failed to
    do this, the Court is compelled to order it to comply with the statute and provide a valid
    panel of orthopedic specialists. The Court has reservations about the necessity of a new
    panel in a case where Mr. Baumgardner acquiesced to treatment for several months,
    made no request to return to his authorized doctor for two years, made no objection to his
    treatment or requested another doctor during that time, or sought treatment on his own
    with another physician. However, the Court declines to infer a time limitation on UPS’
    statutory duty to provide a panel, as such a construction of the statute is the province of
    the appellate courts.
    IT IS, THEREFORE, ORDERED as follows:
    1. UPS shall continue to provide Mr. Baumgardner with medical treatment made
    reasonably necessary by the November 11, 2014 injury and in accordance with
    Tennessee Code Annotated section 50-6-204 (2016), to be initiated by providing
    Mr. Baumgardner with a panel of orthopedic specialists.
    2. Mr. Baumgardner’s claim against UPS and its workers’ compensation carrier for
    the requested permanent disability benefits is denied.
    3. Costs of this cause of $150.00 are assessed against UPS pursuant to Tennessee
    Compilation Rules and Regulations 0800-02-21-.07, to be paid within five days of
    this Order becoming final.
    4. UPS shall prepare and file a statistical data form within ten business days of the
    date of this Order, pursuant to Tennessee Code Annotated section 50-6-244.
    5. After a Compensation Hearing Order entered by a Workers’ Compensation Judge
    becomes final in accordance with Tennessee Code Annotated section 50-6-
    239(c)(7), compliance with this Order must occur in accordance with Tennessee
    Code Annotated section 50-6-239(c)(9). 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 fifth business day after this
    Order becomes final or all appeals are exhausted. Failure to submit the necessary
    confirmation within the period of compliance may result in a penalty assessment
    for non-compliance.
    ENTERED this the 28th day of June, 2017.
    _____________________________________
    Dale Tipps
    Workers’ Compensation Judge
    11
    APPENDIX
    Exhibits:
    1.   Transcript of Dr. James Rungee’s deposition
    2.   Transcript of Dr. Stephen Neely’s deposition
    3.   Indexed medical records submitted by Mr. Baumgardner
    4.   Indexed medical records submitted by UPS
    5.   Joint indexed exhibits
    6.   Form C-42 Choice of Physician form
    Technical Record:
    1.   Petition for Benefit Determination
    2.   Post-Discovery Dispute Certification Notice
    3.   Parties’ Exhibit and Witness Lists
    4.   Pre-Compensation Hearing Statements
    5.   Parties’ Pre-Hearing Briefs
    The Court did not consider attachments to Technical Record filings unless admitted into
    evidence during the Compensation Hearing. The Court considered factual statements in
    these filings or any attachments to them as allegations unless established by the evidence.
    CERTIFICATE OF SERVICE
    I hereby certify that a true and correct copy of the Compensation Hearing Order
    was sent to the following recipients by the following methods of service on this the 28th
    day of June, 2017.
    Name                      Certified    Via         Via Service sent to:
    Mail        Fax        Email
    Jason Denton,                                       X   jdenton@rma-law.com
    Employee’s Attorney
    David Hooper                                       X    dhooper@hooperzinn.com
    Employer’s Attorney
    ______________________________________
    PENNY SHRUM, COURT CLERK
    wc.courtclerk@tn.gov
    12
    

Document Info

Docket Number: 2015-05-619

Citation Numbers: 2017 TN WC 123

Judges: Dale Tipps

Filed Date: 6/28/2017

Precedential Status: Precedential

Modified Date: 1/10/2021