OPINION BY
Judge COHN JUBELIRER.
In this appeal, Laurence A. McGaffin (Claimant) asks this Court to address whether a Workers’ Compensation Judge (WCJ) may terminate benefits when, seven months earlier, Claimant was found to have a whole-person physical impairment rating of 26% based on an examination under Section 306(a.2) of the Workers’ Compensation Act (Act), Act of June 2, 1915, P.L. 736, added by the Act of June 24, 1996, P.L. 340, 77 P.S. § 511.2(1). However, because Claimant failed to raise this issue before the WCJ and did not include the issue in his appeal to the Workers’ Compensation Appeal Board (Board), we must conclude that he has not preserved this issue for review. Accordingly, we dismiss Claimant’s petition for review.
Claimant was employed by Employer “as a field data collector for the purpose of assessing real estate values.” (WCJ Decision Finding of Fact (FOF) ¶ 7.) His job responsibilities required him to do a great deal of driving and “to do extensive walking over uneven terrain in all types of weather.” (FOF ¶ 7.) On February 8, 1999, during the course of his employment, Claimant injured “his neck, upper back, low back and left shoulder” in a slip-and-fall accident. (FOF ¶ 7.)
On March 8, 1999, Employer issued a Notice of Temporary Compensation Payable (NTCP) for “Strain” of Claimant’s “Low Back” in the amount of $294.00 per week, based on an average weekly wage of $330.00. (NTCP, 3/8/99 at 1.)
Section 306(a.2)(l) of the Act requires an employee who has been receiving total disability benefits for 104 weeks to submit to an independent medical examination, upon employer’s timely request, for the purpose of determining an impairment rating evaluation (IRE). Section 306(a.2)(l) directs that “[t]he degree of impairment shall be determined based upon an evaluation [by a qualified examiner] pursuant to the most recent edition of the American Medical Association (AMA) ‘Guides to the Evaluation of Permanent Impairment.’” 77 P.S. § 511.2(1).
On August 7, 2001, Employer requested that Claimant undergo an IRE. On August 22, 2001, Nenad Janicijevic, M.D., F.A.C.E.P., a qualified examiner, completed an IRE of Claimant, finding that he had an impairment rating of “26% impairment of the whole person.”1 (IRE at 8.) Section 306(a.2)(2) provides that an impairment rating of 50% or above results in a presumption that the employee is totally disabled. 77 P.S. § 511.2(2). An impairment rating of less than 50% results in the employee “receiv[ing] partial disability benefits” under Section 306(b) of the Act, 77 P.S. § 512.
Employer subsequently issued a Notice of Compensation Payable (NCP) on April 9, 2002, in the amount of $294.002 for “CONTUSIONS AND SPRAINS” of the “CERV/THOR/LUMBAR SPINE & L [96]*96SHDR” that Claimant sustained by slipping down an embankment as he was measuring a house. (NCP, 4/9/02 at 1.)
On May 31, 2002, Employer filed a Termination Petition seeking to stop payment of workers’ compensation benefits as of March 12, 2002.3 In support of its Termination Petition, Employer presented the Expert Report and Deposition of Roger Ferguson, M.D.4 Dr. Ferguson physically evaluated Claimant in “all areas described in the notice of compensation payable” (FOF ¶ 8a), and concluded that Claimant had a “normal physical evaluation in all examined areas.... ” (FOF ,¶ 8b.) Dr. Ferguson opined that Claimant had “fully recovered from the 1999 surgery” that had been performed to address the injury, and Claimant showed “symptom magnification and subjective complaints without objective findings.” (FOF ¶ 8d.)
Claimant produced the deposition and report of his treating physician, Anna Mathew, M.D., who testified that Claimant has continued to have “constant complaints of cervical spine, left shoulder, chest, low back and mid back pain.” (FOF ¶ 9a.) Dr. Mathew opined that Claimant has “myofascial pain syndrome related to his work injury.... ” (FOF ¶ 9a.)
Additionally, Claimant testified during hearings before the WCJ that he was unable to return to work because of ongoing pain he was having in his chest, left shoulder, back and leg. (Test. 3/19/03, 12-14.)
Claimant did not argue before the WCJ that she needed to consider the effect the IRE might have on the termination. Employer offered the IRE into evidence, not as a medical opinion, but merely as a Bureau document that contained background history. Claimant’s counsel even questioned the relevancy of the IRE, wondering if the IRE, and other Bureau documents, were “relevant to the termination [petition].” (Test. 3/19/03, 5.) The WCJ admitted the IRE for the limited purpose that Employer offered it.5
The WCJ weighed the testimony and concluded that Employer met its “burden of proof ... that the claimant has fully recovered from the physical sequela of his work injury based upon the substantial, competent and credible medical evidence of the testimony of Dr. Roger Ferguson, which was adopted as credible and as fact.” (FOF ¶ 13.) The WCJ rejected Dr. Mathew’s opinions to the extent they contradicted Dr. Ferguson. The WCJ did not [97]*97address what effect the IRE might have on the termination, which issue had not been raised for her consideration.6
Claimant appealed the WCJ’s decision to the Board. Claimant did not mention the IRE in his notice of appeal form filed with the Board, which included the Appeal from the WCJ’s Findings of Fact and Conclusions of Law and also detailed Claimant’s Specific Exceptions which were attached thereto.7 The focus of Claimant’s arguments in his appeal was that the WCJ’s [98]*98conclusions of law were not supported by substantial evidence and that “[t]he Judge erred in accepting the testimony of Roger Ferguson, M.D. over the testimony of Anna Mathews, M.D.” (Claimant’s Specific Exceptions at 1.) Claimant does not include a reference to either Dr. Janicijevic or the IRE in his appeal.
The Board heard argument on January 19, 2005. In the reproduced, record, Claimant has included a brief,8 filed June 22, 2005, which, for the first time, raises the question of whether the IRE rating of 26% precludes the WCJ from granting Employer’s Termination Petition.9 Four months later, the Board filed its Opinion.
The Board affirmed the WCJ’s decision, addressing the issues raised in Claimant’s appeal documents, and not discussing the effect of the IRE. In doing so, the Board noted that “[w]ith regard to a termination petition, the defendant has the burden of establishing that the claimant’s disability has ceased and that the claimant has fully recovered from his work injury, or that any remaining disability is no longer the result of the work injury. Benson v. WCAB (Haverford State Hosp.), 668 A.2d 244 (Pa.Cmwlth.1995).” (Bd. Decision at 4.) The Board concluded that “because the WCJ accepted as credible Dr. Ferguson’s testimony that Claimant fully recovered from his work injury and could return to work without restrictions, [Employer] met its burden of proving its entitlement to a termination of Claimant’s benefits.” [99]*99(Bd. Decision at 7 (citation omitted).) Claimant appeals from the Board’s decision.
Before this Court,10
Free access — add to your briefcase to read the full text and ask questions with AI
OPINION BY
Judge COHN JUBELIRER.
In this appeal, Laurence A. McGaffin (Claimant) asks this Court to address whether a Workers’ Compensation Judge (WCJ) may terminate benefits when, seven months earlier, Claimant was found to have a whole-person physical impairment rating of 26% based on an examination under Section 306(a.2) of the Workers’ Compensation Act (Act), Act of June 2, 1915, P.L. 736, added by the Act of June 24, 1996, P.L. 340, 77 P.S. § 511.2(1). However, because Claimant failed to raise this issue before the WCJ and did not include the issue in his appeal to the Workers’ Compensation Appeal Board (Board), we must conclude that he has not preserved this issue for review. Accordingly, we dismiss Claimant’s petition for review.
Claimant was employed by Employer “as a field data collector for the purpose of assessing real estate values.” (WCJ Decision Finding of Fact (FOF) ¶ 7.) His job responsibilities required him to do a great deal of driving and “to do extensive walking over uneven terrain in all types of weather.” (FOF ¶ 7.) On February 8, 1999, during the course of his employment, Claimant injured “his neck, upper back, low back and left shoulder” in a slip-and-fall accident. (FOF ¶ 7.)
On March 8, 1999, Employer issued a Notice of Temporary Compensation Payable (NTCP) for “Strain” of Claimant’s “Low Back” in the amount of $294.00 per week, based on an average weekly wage of $330.00. (NTCP, 3/8/99 at 1.)
Section 306(a.2)(l) of the Act requires an employee who has been receiving total disability benefits for 104 weeks to submit to an independent medical examination, upon employer’s timely request, for the purpose of determining an impairment rating evaluation (IRE). Section 306(a.2)(l) directs that “[t]he degree of impairment shall be determined based upon an evaluation [by a qualified examiner] pursuant to the most recent edition of the American Medical Association (AMA) ‘Guides to the Evaluation of Permanent Impairment.’” 77 P.S. § 511.2(1).
On August 7, 2001, Employer requested that Claimant undergo an IRE. On August 22, 2001, Nenad Janicijevic, M.D., F.A.C.E.P., a qualified examiner, completed an IRE of Claimant, finding that he had an impairment rating of “26% impairment of the whole person.”1 (IRE at 8.) Section 306(a.2)(2) provides that an impairment rating of 50% or above results in a presumption that the employee is totally disabled. 77 P.S. § 511.2(2). An impairment rating of less than 50% results in the employee “receiv[ing] partial disability benefits” under Section 306(b) of the Act, 77 P.S. § 512.
Employer subsequently issued a Notice of Compensation Payable (NCP) on April 9, 2002, in the amount of $294.002 for “CONTUSIONS AND SPRAINS” of the “CERV/THOR/LUMBAR SPINE & L [96]*96SHDR” that Claimant sustained by slipping down an embankment as he was measuring a house. (NCP, 4/9/02 at 1.)
On May 31, 2002, Employer filed a Termination Petition seeking to stop payment of workers’ compensation benefits as of March 12, 2002.3 In support of its Termination Petition, Employer presented the Expert Report and Deposition of Roger Ferguson, M.D.4 Dr. Ferguson physically evaluated Claimant in “all areas described in the notice of compensation payable” (FOF ¶ 8a), and concluded that Claimant had a “normal physical evaluation in all examined areas.... ” (FOF ,¶ 8b.) Dr. Ferguson opined that Claimant had “fully recovered from the 1999 surgery” that had been performed to address the injury, and Claimant showed “symptom magnification and subjective complaints without objective findings.” (FOF ¶ 8d.)
Claimant produced the deposition and report of his treating physician, Anna Mathew, M.D., who testified that Claimant has continued to have “constant complaints of cervical spine, left shoulder, chest, low back and mid back pain.” (FOF ¶ 9a.) Dr. Mathew opined that Claimant has “myofascial pain syndrome related to his work injury.... ” (FOF ¶ 9a.)
Additionally, Claimant testified during hearings before the WCJ that he was unable to return to work because of ongoing pain he was having in his chest, left shoulder, back and leg. (Test. 3/19/03, 12-14.)
Claimant did not argue before the WCJ that she needed to consider the effect the IRE might have on the termination. Employer offered the IRE into evidence, not as a medical opinion, but merely as a Bureau document that contained background history. Claimant’s counsel even questioned the relevancy of the IRE, wondering if the IRE, and other Bureau documents, were “relevant to the termination [petition].” (Test. 3/19/03, 5.) The WCJ admitted the IRE for the limited purpose that Employer offered it.5
The WCJ weighed the testimony and concluded that Employer met its “burden of proof ... that the claimant has fully recovered from the physical sequela of his work injury based upon the substantial, competent and credible medical evidence of the testimony of Dr. Roger Ferguson, which was adopted as credible and as fact.” (FOF ¶ 13.) The WCJ rejected Dr. Mathew’s opinions to the extent they contradicted Dr. Ferguson. The WCJ did not [97]*97address what effect the IRE might have on the termination, which issue had not been raised for her consideration.6
Claimant appealed the WCJ’s decision to the Board. Claimant did not mention the IRE in his notice of appeal form filed with the Board, which included the Appeal from the WCJ’s Findings of Fact and Conclusions of Law and also detailed Claimant’s Specific Exceptions which were attached thereto.7 The focus of Claimant’s arguments in his appeal was that the WCJ’s [98]*98conclusions of law were not supported by substantial evidence and that “[t]he Judge erred in accepting the testimony of Roger Ferguson, M.D. over the testimony of Anna Mathews, M.D.” (Claimant’s Specific Exceptions at 1.) Claimant does not include a reference to either Dr. Janicijevic or the IRE in his appeal.
The Board heard argument on January 19, 2005. In the reproduced, record, Claimant has included a brief,8 filed June 22, 2005, which, for the first time, raises the question of whether the IRE rating of 26% precludes the WCJ from granting Employer’s Termination Petition.9 Four months later, the Board filed its Opinion.
The Board affirmed the WCJ’s decision, addressing the issues raised in Claimant’s appeal documents, and not discussing the effect of the IRE. In doing so, the Board noted that “[w]ith regard to a termination petition, the defendant has the burden of establishing that the claimant’s disability has ceased and that the claimant has fully recovered from his work injury, or that any remaining disability is no longer the result of the work injury. Benson v. WCAB (Haverford State Hosp.), 668 A.2d 244 (Pa.Cmwlth.1995).” (Bd. Decision at 4.) The Board concluded that “because the WCJ accepted as credible Dr. Ferguson’s testimony that Claimant fully recovered from his work injury and could return to work without restrictions, [Employer] met its burden of proving its entitlement to a termination of Claimant’s benefits.” [99]*99(Bd. Decision at 7 (citation omitted).) Claimant appeals from the Board’s decision.
Before this Court,10 Claimant argues that the IRE establishes that Claimant has a permanent impairment caused by his workplace injuries, which, by definition, means the impairment and the injuries cannot fully heal. Under the AMA Guidelines, an impairment rating is not merited unless Claimant has reached “maximum medical improvement.” (Claimant Br. at 14.) He argues that the WCJ and Board erred by failing to grant this impairment rating a preclusive effect as to the permanent nature of Claimant’s injuries, and by accepting expert medical evidence that concluded that the injury had healed, without considering the established AMA impairment rating for Claimant. Claimant argues that:
Section 306(a.2) provides no mechanism by which a defendant may seek to prove that a claimant has fully recovered from a work injury subsequent to a determination that he/she is permanently impaired as a result of the same injury. Presumably, the Legislature failed to include such a provision because doing so would be simply absurd. It is logically inconsistent to believe that a claimant could have fully recovered from the same work injury that has rendered him/her permanently impaired.
(Claimant Br. at 14.)
Claimant also argues that, under Section 306(a.2), which establishes procedures to address changes of condition, Employer can demonstrate this change only: (1) “via a subsequent impairment rating evaluation performed pursuant to the” AMA Guidelines, and not by an examination under Section 314 of the Act, 77 P.S. § 651 (Claimant Br. at 15); or (2) by establishing under Section 306(b) that Claimant has earning power.11
Employer challenges Claimant’s arguments on the merits.12 However, before reaching the merits of this issue, we must first review the facts of this case in light of our scope of review, the Pennsylvania Rules of Appellate Procedure, and the Board’s procedural regulations, to determine if Claimant has preserved this issue for our review.
Entitled “scope of review,” Pennsylvania Rule of Appellate Procedure 1551 provides that “[rjeview of quasijudicial orders shall be conducted by the court on the record made before the government unit. No question shall be heard or considered by the court which was not raised before the [100]*100government unit.” Pa. R.A.P. 1551 (emphasis added). A companion Rule of Appellate Procedure sets requirements for parties appealing to this Court to clarify that the issues the parties seek to bring before the Court have been properly preserved for our review. Pa. R.A.P. 2117. Subsection (c) of this rule provides that:
(c) Statement of place of raising or preservation of issues. Where under the applicable law an issue is not reviewable on appeal unless raised or preserved below, the statement of the case shall also specify:
(1) The state of the proceedings in the court of first instance, and in any appellate court below, at which, and the manner in which, the questions sought to be reviewed were raised.
(2) The method of raising them (e.g. by a pleading, by a request to charge and exceptions, etc.).
(3) The way in which they were passed upon by the court.
(4) Such pertinent quotations of specific portions of the record, or summary thereof, with specific reference to the places in the record where the matter appears (e.g. ruling or exception thereto, etc.) as will show that the question was timely and properly raised below so as to preserve the question on appeal.
Where the portions of the record relied upon under this subdivision are voluminous, they shall be included in an appendix to the brief, which may, if more convenient, be separately presented.
Pa. R.A.P. 2117(c) (emphasis added). Thus, Rule 1551 precludes us, through the directive “no question shall be heard,” from hearing or considering issues that were not raised before the government unit, and Rule 2117 establishes requirements that an appellant must meet to show how and where an issue the party seeks to bring before us was preserved.
We first examine the procedural rules promulgated by the Board, which contain the specific requirements a party must satisfy to preserve an issue for the Board’s review. 34 Pa.Code § 111.11. In particular, Section 111.11(a) provides that:
(a) An appeal or cross appeal shall be filed with the Board on a form provided by the Board or on a form containing substantially the following information:
(1) The name and address of the claimant, name and address of the defendant, date of the injury, type of petition, Bureau claim number, insurance carrier and circulation date of the decision at issue.
(2) A statement of the particular grounds upon which the appeal is based, including reference to the specific findings of fact which are challenged and the errors of the law which are alleged. General allegations which do not specifically bring to the attention of the Board the issues decided are insufficient.
(3) A statement of the relief which is requested.
(4) A statement whether the petitioner seeks an opportunity to file a brief or present oral argument or whether the case should be heard on the record without brief or oral argument.
(5) Identification of the judge whose decision is in question, including as an attachment, a copy of that judge’s decision.
(6) A proof of service as specified in § 111.12(d) (relating to filing, service and proof of service).
[101]*10134 Pa.Code § 111.11(a) (emphasis added). Thus, under subparagraph (a)(2), a party-must specifically identify, in its appeal documents, the particular grounds being appealed to the Board. 34 Pa.Code § 111.11(a)(2).
In interpreting and applying this section, we have found that when a party fails to abide by the requirements of 34 Pa.Code § 111.11(a)(2) by raising an issue with the requisite specificity in the appeal documents before the Board, that party fails to preserve the issue under 34 Pa. Code § 111.11(a)(2). Matticks v. Workers’ Comp. Appeal Bd. (Thomas J. O’Hora Co.), 872 A.2d 196, 202 (Pa.Cmwlth.2005) (“Employer effectively waived its arguments [by not raising them in the appeal documents and t]he fact that Employer may have argued the issues in its brief to the Board is unavailing as it failed to comply with 34 Pa.Code § 111.11(a)”.); Jonathan Sheppard Stables v. Workers’ Comp. Appeal Bd. (Wyatt), 739 A.2d 1084, 1089 (Pa.Cmwlth.1999) (concluding that “fail[ure] to properly raise and preserve [those] issues” under 34 Pa.Code § 111.11(a)(2), by not having the requisite specificity in the appeal documents before the Board, precluded our ability under Rule of Appellate Procedure 1551 to hear the issue). The importance of raising the issue in the appeal documents, as opposed to subsequent briefs, is also found in Sheridan v. Worker’s Compensation Appeal Board (Anzon, Inc.), 713 A.2d 182 (Pa.Cmwlth.1998), in which we concluded that an issue may be preserved for review if it is raised in the appeal documents before the Board, even if is not subsequently briefed before the Board. Nonetheless, at minimum, the issue must be specifically identified in the appeal documents — “the mere fifing of an appeal does not preserve issues which are not specifically raised” in the appeal documents before the Board. Fiorentino v. Worker’s Comp. Appeal Bd. (Concrete Industries, Inc.), 131 Pa.Cmwlth. 658, 571 A.2d 554, 556 (1990).
In this case, while Claimant did raise some issues with the requisite specificity, see footnote 7 supra, the sole issue Claimant raises before us on appeal was not raised in the appeal documents (Claimant’s Appeal Form and Claimant’s Specific Exceptions), in any manner. While those two documents do raise challenges to specific findings of fact and conclusions of law, these challenges are in no way connected to the issue the Claimant seeks to bring before us. As described earlier, the specific challenges set forth in the two documents relate to the psychological injury, the fees and costs, and challenging the WCJ’s credibility determinations and, specifically, the WCJ’s crediting the testimony of Employer’s doctor, Dr. Ferguson over Claimant’s doctor, Dr. Mathew. Although Claimant specifically refers to his expert, Dr. Mathew, in his appeal documents, he does not even mention Dr. Janieijevic or the IRE. Thus, the issues Claimant raised, and preserved, in his appeal documents do not include the issue he raises on appeal, specifically, the affect of the IRE on Employer’s Termination Petition before the WCJ.13 Per Jonathan Sheppard Stables and Matticks, by failing to raise the issue with specificity in the appeal documents as required by 34 Pa.Code § 111.11(a)(2), Claimant failed to preserve [102]*102it for review to the Board and, subsequently, per Pennsylvania Rule of Appellate Procedure 1551, failed to preserve it for review by this Court.
Raising some issues with the requisite specificity does not allow a party to subsequently raise any issue, see Florentino, and any effort to address an issue in a brief that has not been properly raised in the appeal documents is “unavailing.” Matticks, 872 A.2d at 202.14
Accordingly, because we conclude that Claimant has not preserved this issue at any stage of this case, we must dismiss his appeal.
ORDER
NOW, July 19, 2006, the petition for review of Laurence A. McGaffm in the above-captioned matter is hereby DISMISSED.