J. Pacheco v. WCAB (Nordstrom, Inc.)

Commonwealth Court of Pennsylvania·Decided March 22, 2021·No. 408 C.D. 2020·Unpublished

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Julio Pacheco, :

Petitioner :

:

v. : No. 408 C.D. 2020 : Submitted: August 21, 2020 Workers’ Compensation Appeal Board : (Nordstrom, Inc.), :

Respondent :

BEFORE: HONORABLE RENÉE COHN JUBELIRER, Judge HONORABLE MICHAEL H. WOJCIK, Judge HONORABLE ELLEN CEISLER, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE COHN JUBELIRER FILED: March 22, 2021

Julio Pacheco (Claimant) petitions for review of an Order of the Workers’

Compensation Appeal Board (Board) affirming a Workers’ Compensation Judge’s (WCJ) January 10, 2019 Decision on remand (Remand Decision) that held that Claimant was entitled only to a partial reimbursement of litigation costs arising from the WCJ’s September 26, 2017 Decision (Initial Decision). In the Initial Decision, the WCJ granted in part Claimant’s Petition to Review Medical Treatment and/or Billing (Review Petition), which sought to correct an alleged incorrect description of Claimant’s work-related injury in the Notice of Compensation Payable (NCP). The WCJ modified the NCP’s description based solely on the credited testimony of Nordstrom, Inc.’s (Employer) expert witness, rather than the opinions offered by

Claimant’s experts, whom the WCJ did not credit.1 In the Remand Decision, the WCJ found that Employer was required to reimburse Claimant only for the cost of the copy of the deposition transcript of Employer’s expert whose credible testimony was used to expand the description of Claimant’s injury. On appeal, Claimant argues that notwithstanding the WCJ’s credibility determinations, he is entitled to the reimbursement of all of his litigation costs pursuant to Section 440(a) of the Workers’ Compensation Act2 (Act) because he succeeded on his Review Petition in part. After review, we affirm as required by our precedent because the WCJ did not find Claimant’s experts credible and, therefore, did not rely on their testimony to expand the description of Claimant’s injury and the additional injuries were not disputed by Employer.

I. Background A. The Petitions Claimant suffered a work injury on May 7, 2016, when a gate fell and hit his head while working at Employer’s fulfillment center. Initially, this claim was acknowledged by way of a Medical-Only NCP. Another NCP was issued on June 21, 2016, acknowledging an injury described as a head contusion and indicating that Claimant would be paid temporary indemnity benefits. After initially receiving treatment at WorkNet, Claimant was released to work with restrictions by James

1 The WCJ’s Initial Decision also granted various petitions filed by Employer, including Petitions to Modify and Terminate Claimant’s benefits, which the Board affirmed. Claimant has not challenged the merits of those determinations. However, because the Initial Decision did not address the issue of litigation costs, the Board remanded the matter to the WCJ to determine what, if any, litigation costs should be awarded.

2 Act of June 2, 1915, P.L. 736, as amended, added by Section 3 of the Act of February 8, 1972, P.L. 25, 77 P.S. § 996(a) (providing, in relevant part, that a claimant shall be awarded a reasonable sum for litigation costs in any contested case in which the matter at issue is finally determined, in whole or in part, in the claimant’s favor).

Rochester, M.D., on November 15, 2016. A Notice of Ability to Return to work was issued to Claimant, along with Dr. Rochester’s restrictions. On that same day, Employer sent Claimant a letter offering him a Bin Maker position that would be within Claimant’s work restrictions and requesting that Claimant return to work on November 21, 2016. Claimant did not return to work.

Employer filed a Petition for Modification (Modification Petition) on November 23, 2016, requesting a modification of Claimant’s benefits based on Claimant’s bad faith refusal to return to work at the light-duty job within Dr. Rochester’s restrictions. On December 2, 2016, Claimant responded by filing the Review Petition, claiming that the NCP incorrectly described his work injury. He sought to expand the description of the work injury to include “cervical and lumbar injuries including multiple disc herniations and disc disease, aggravation of rightsided foraminal osteophytic spurring with cervical radiculopathy, concussion and post-concussion syndrome with encephalopathy, vertigo, occipital neuralgia and vestibulopathy.” (Initial Decision at 3.)

Also, on December 2, 2016, Claimant attended an independent medical examination (IME) with Todd Samuels, M.D., who opined that Claimant was fully recovered from the head contusion and able to return to work with no restrictions as of that date. Based on this determination, Employer filed a Petition for Termination on December 14, 2016. In addition, Employer sent Claimant a job offer letter, dated December 15, 2016, requesting Claimant return to his full-duty work on December 22, 2016. Claimant did not return. Employer filed a Petition for Suspension (Suspension Petition) on January 17, 2017, asserting that Claimant’s benefits should be suspended as a result of Claimant’s failure to return to work.

In response to Claimant’s asserted additional work injuries, Employer filed a Petition to Compel Independent Medical Examination (Petition to Compel). The WCJ granted the Petition to Compel following a hearing. Claimant attended an IME with Walter Peppelman, M.D., on March 6, 2017.

B. Proceedings Before the WCJ and the Initial Decision In support of its petitions, Employer presented the deposition testimony of Dr.

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