LOIS Reduces Exposure, Obtains Disallowances on Additional Sites

LOIS Associate Tara M. Cullen obtained a favorable finding in a New York Workers’ Compensation claim, reducing the overall exposure of the claim. The Claimant raised bilateral shoulders and bilateral knees as additional sites that were causally related to the date of loss. Cullen argued that because the doctor testified that she was unsure whether the Claimant’s bilateral shoulder pain and bilateral knee pain were specific injuries or radicular pain from the neck and back. The Law Judge ultimately noted that as the Claimant’s treating physician’s reports and testimony did not indicate causal relationship for the bilateral shoulders or the knees, these sites were not supported by the medical reports and testimony and were disallowed. By disallowing these additional sites, costs of medical treatment related to these sites were significantly reduced.