Indiana Spine Group, P.C. v. International Entertainment Consultants

940 N.E.2d 380, 2011 Ind. App. LEXIS 19, 2011 WL 134184
CourtIndiana Court of Appeals
DecidedJanuary 14, 2011
Docket93A02-1007-EX-764
StatusPublished
Cited by2 cases

This text of 940 N.E.2d 380 (Indiana Spine Group, P.C. v. International Entertainment Consultants) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Indiana Spine Group, P.C. v. International Entertainment Consultants, 940 N.E.2d 380, 2011 Ind. App. LEXIS 19, 2011 WL 134184 (Ind. Ct. App. 2011).

Opinion

OPINION

CRONE, Judge.

Case Summary

Indiana Spine Group, P.C. ("Indiana Spine"), provided medical services to an employee of International Entertainment Consultants ("Consultants"). When Consultants' insurer failed to pay the entire bill, Indiana Spine filed an application for adjustment of claim with the Worker's Compensation Board ("the Board"). Consultants moved to dismiss the application, arguing it was barred by the two-year statute of limitations found in Indiana Code Section 22-3-3-38. A single hearing member granted the motion, and the full Board affirmed. We conclude that Indiana Code Section 22-8-3-3 does not apply to Indiana Spine's claim; therefore, we reverse and remand for further proceedings.

Facts and Procedural History

On June 27, 2005, Michael Webb suffered an accidental injury arising out of and occurring in the course of his employment with Consultants. Indiana Spine provided medical services and supplies to *381 Webb, for which it charged $16,132.00. On August 17, 2006, Consultants insurer paid $10,029.86 to Indiana Spine.

On April 8, 2009, Indiana Spine filed an application for adjustment of claim with the Board, seeking to be paid for the entire amount that it had charged for the services provided to Webb. Consultants filed a motion to dismiss, arguing that Indiana Spine's claim was barred by a two-year statute of limitation found in Indiana Code Section 22-3-3-8. A single hearing member granted the motion to dismiss.

On March 19, 2010, Indiana Spine applied for review by the full Board. The Board affirmed the decision of the single hearing member. The Board reasoned that the medical provider's fee claim is derivative of the underlying injury claim, and the Board declined to apply any of the general statutes of limitation found in Indiana Code chapter 34-11-2. Indiana Spine now appeals.

Discussion and Decision

On appeal from a decision of the Board, we are bound by the Board's findings of fact and may only consider errors in the Board's conclusions of law. Swift v. State Farm Ins. Co., 819 N.E.2d 389, 391 (Ind.Ct.App.2004). In this case, the facts are undisputed, and we are presented solely with a question of law: whether the statute of limitation in Indiana Code Seetion 22-8-3-3 bars Indiana Spine's claim. Our standard of review, therefore, is de novo. See Id. at 391-92 (question of law is reviewed de novo). Where, as here, the facts are not in dispute, "we do not grant the same degree of deference to the Board's decision as we would if the issue were of fact, because law is the province of the judiciary and our constitutional system empowers the courts to draw legal conclusions." Casper v. L.E. Isley & Sons, Inc., 876 N.E.2d 776, 779 (Ind.Ct.App.2007). When interpreting a statute, we presume that the legislature intended for the language of the statute to be applied logically, so as to avoid unjust or absurd results. Larson v. Portage Township Sch. Corp., 856 N.E.2d 100, 103 (Ind.Ct.App.2006).

Recently, in Indiana Spine Group v. Pilot Travel Centers, we concluded that the Worker's Compensation Act ("Act") is "silent on the statute of limitations applicable to claims involving the pecuniary liability of employers to medical service providers." 981 N.E.2d 485, 438 (Ind.Ct.App.2010), trans. pending. Pilot involved essentially the same factual seenario at issue in this case. An employee who was injured while working for Pilot received treatment from Indiana Spine. Pilot made only a partial payment to Indiana Spine, and Indiana Spine filed an application seeking the balance owed. Pilot argued that the statute of limitations had run, and the Board agreed.

We noted that the Act contains two statutes of limitations, Indiana Code Sections 22-3-3-3 and -27. Indiana Code Section 22-3-3-3 provides, in relevant part:

The right to compensation under IC 22-3-2 through IC 22-38-6 shall be forever barred unless within two (2) years after the occurrence of the accident, or if death results therefrom, within two (2) years after such death, a claim for compensation thereunder shall be filed with the worker's compensation board.

Indiana Code Section 22-3-3-27 provides that the Board may not modify an award after the expiration of two years from the last day for which compensation was paid. We concluded that neither of these statutes of limitation applied to a medical service provider's claim for pecuniary liability.

Consultants agrees that Indiana Code Section 22-8-8-27 does not apply and observes that the Board did not rely on that section in affirming the dismissal of *382 Indiana Spine's claim. Appellee's Br. at 6. However, Consultants argues that Pilot was wrongly decided and that Indiana Code Section 22-3-3-38 does apply to a medical service provider's claim. In Pilot, we described the application of Indiana Code Section 22-3-3-8 as follows:

[AJln injured employee must initiate a claim for TTD benefits, PPI benefits, and/or medical services within two years of the work-related accident. See Colburn v. Kessler's Team Sports, 850 N.E.2d 1001 (Ind.Ct.App.2006), trams. denied. In the instant case, there is no dispute that [the employee] timely sought benefits under the Act or that he presented a compensable injury claim. Cf. Danielson v. Pratt Industries, Inc., 846 N.E.2d 244 (Ind.Ct.App.2006) (application for adjustment of claim for provider fee dismissed where patient had never filed a claim for benefits under the Act and an employer/employee relationship between patient and Pratt, which Pratt denied existed, had never been determined). Therefore, LC. § 22-8-3-3 does not bar [the medical service provider's] claim.

931 N.E.2d at 487.

Consultants argues that the plain language of Indiana Code Section 22-3-3-3 makes it applicable to all claims for compensation under the Act and that, pursuant to Colburn, medical services are included in the term "compensation." Bill Colburn injured his back during the course and scope of his employment with Kessler's Team Sports. Kessler's insurer accepted Colburn's claim as compensable and provided him with medical care. Col-burn returned to work less than one week after his injury; therefore, he was not entitled to temporary total disability benefits and he did not enter into an agreement regarding compensation. Nevertheless, the insurer continued to pay for Colburn's medical expenses. Eventually, Colburn determined that he wanted to undergo surgery to alleviate his back pain, but the insurer refused to authorize surgery. Colburn filed an application for adjustment of his claim only after authorization for surgery was denied, which was more than two years after the accident. Colburn's application was dismissed, and we affirmed.

On appeal, Colburn argued that our case law established that the Act makes a distinction between P.P.I. and T.T.D.

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Related

Indiana Spine Group v. Pilot Travel
959 N.E.2d 789 (Indiana Supreme Court, 2011)
Indiana Spine Group, P.C. v. Handleman Co.
944 N.E.2d 497 (Indiana Court of Appeals, 2011)

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Bluebook (online)
940 N.E.2d 380, 2011 Ind. App. LEXIS 19, 2011 WL 134184, Counsel Stack Legal Research, https://law.counselstack.com/opinion/indiana-spine-group-pc-v-international-entertainment-consultants-indctapp-2011.