What the panel ordered
December 14, 2020 Findings of Fact and Findings and Order rescinded; matter returned to trial level for further proceedings
Petition for Reconsideration of the December 14, 2020 Findings of Fact and Findings and Order granted; matter returned to WCJ for further proceedings
What was disputed, and how it came out
Each issue the panel decided, with the reasoning it gave. An outcome is what this panel did on this record — not a rule, and not a prediction.
Reconsideration / removalApplicant prevailedlegs · thighs · knees · lower extremities · nervous system · psyche
The WCJ denied the lien for failure to provide NPI number and CMS 1500 form, but the Board found the NPI requirement did not apply retroactively to 2018 treatments and the CMS 1500 form objection was not timely raised, thus granting reconsideration and returning the matter for further proceedings.
From the decision · page 1PCT Medical Services, Inc., (lien claimant) seeks reconsideration of the Findings of Fact and Findings and Order (F&O) issued by the workers' compensation administrative law judge (WCJ) on December 14, 2020. As relevant herein, the WCJ found that lien claimant failed to submit its National Provider Identifier (NPI) number; and that lien claimant's billing evidence did not include a CMS 1500 Health Insurance Claim Form. The WCJ disallowed lien claimant's lien in its entirety.