Mosley v. Industrial Claim Appeals Office

78 P.3d 1150, 2003 WL 22097761
CourtColorado Court of Appeals
DecidedOctober 9, 2003
Docket02CA1788
StatusPublished
Cited by6 cases

This text of 78 P.3d 1150 (Mosley v. Industrial Claim Appeals Office) is published on Counsel Stack Legal Research, covering Colorado Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mosley v. Industrial Claim Appeals Office, 78 P.3d 1150, 2003 WL 22097761 (Colo. Ct. App. 2003).

Opinion

Opinion by

Judge PIERCE. *

Sherry L. Mosley (claimant) seeks review of a portion of a final order of the Industrial Claim Appeals Office (Panel) denying her request for attorney fees. Asphalt Paving Company and its insurer, Colorado Insurance Guaranty Association (collectively employer), seek review of the final order insofar as it determined permanent medical impairment. We affirm in part, set aside the order in part, and remand with directions.

Claimant reached maximum medical improvement (MMT) in January 2000 from injuries sustained in an admitted work-related automobile accident in 1998, and the treating physician rated her total permanent medical impairment at thirty percent of the whole person. The treating physician's rating was based on sixteen percent impairment for the cervical spine, eight percent for the thoracic spine, and ten percent for mental impairment.

Employer requested a division-sponsored independent medical examination (DIME), and the DIME physician gave claimant a permanent medical impairment rating of thirty-six percent of the whole person. This rating was based upon seventeen percent cervical spine impairment, fifteen percent lumbar spine impairment, and ten percent mental impairment.

*1152 Employer contested the DIME physician's rating and obtained another independent medical examination (IME). That physician initially opined that claimant suffered eleven percent whole person impairment based upon six percent thoracic impairment and five percent mental impairment. Later, after viewing videotapes of claimant performing certain activities, the IME physician opined that claimant had normal function of the thoracic spine and suffered only mental impairment, which he also questioned.

The administrative law judge (ALJ) concluded in 2000 that claimant's permanent medical impairment totaled thirty-one percent, based upon a combination of the adjusted twenty-five percent rating of the DIME physician and the eight percent thoracic spine impairment assigned by the treating physician. Employer petitioned for review, and the matter was remanded to the ALJ. After a three-day hearing in 2002, the ALJ determined that the DIME physician's opinion regarding claimant's lumbar impairment was overcome, and adjusted his whole person impairment rating from thirty-six percent to twenty-five percent. The ALJ also interpreted the DIME physician's silence regarding thoracic impairment as implicating a rating of zero percent, and found that such opinion had been overcome by clear and convincing evidence. The ALJ finally determined that the treating physician's opinion that claimant suffered eight percent impairment of the thoracic spine was more credible than the opinion of employer's IME physi-clan. Employer again sought review. The Panel affirmed the impairment rating in the 2002 order and denied claimant's request for attorney fees.

L

Claimant asserts that employer was precluded from challenging the ALJ's finding that she sustained a twenty-five percent non-thoracic impairment because employer did not challenge that finding in its petition to review the ALJ's 2000 order. We agree.

When an amendment to a judgment substantially affects the rights of the parties, they must be given a new opportunity to appeal, and the time for appeal commences to run from date of entry of the amended judgment. However, if the rights of the appealing party are not materially affected by the amendment and the relief from judgment could have been sought prior to the amendment, the time for appeal is not extended. In re Marriage of Everhart, 636 P.2d 1321 (Colo.App.1981).

Here, in its petition to review the ALJ's 2000 order, employer contested only the finding that claimant sustained eight percent impairment to the thoracic spine. It did not contest the entire thirty-one percent rating until it sought review of the ALJ's 2002 amended order. Hence, employer could, and should, have raised the latter issue in the earlier petition to review the 2000 order. Accordingly, by failing to do so then, employer waived the right to do so later.

JLE

Employer asserts that claimant is not entitled to permanent partial disability benefits based upon a rating of thirty-one percent of the whole person. It argues that the ALJ erred in considering whether the DIME physician's nonrating of the thoracic spine was overcome by clear and convincing evidence because neither party disputed his opinion that claimant had no impairment of the thoracic spine. According to employer, the ALJ's sua sponte action denied it due process. We disagree.

A.

First, we reject claimant's argument that employer does not have standing to argue a violation of due process. Even if employer lacked standing, any error in addressing the issue is harmless because we conclude that employer was not denied due process.

B.

As a matter of diagnosis, the assessment of permanent medical impairment requires a rating physician to identify and evaluate all losses and restrictions that result from the injury. Qual-Med, Inc. v. Indus. *1153 Claim Appeals Office, 961 P.2d 590 (Colo.App.1998).

Thus, we agree with the Panel that onee employer indicated that the rating of neither the treating physician nor the DIME physician was correct, it could not be surprised that the ALJ adjudicated the existence of permanent impairment to the tho-racie spine. This is so even though claimant did not contest the DIME physician's rating.

The DIME physician's finding concerning a claimant's impairment rating is binding on the parties unless overcome by clear and convincing evidence. Section 8-42-107(8)(c), C.R.98.2002; Whiteside v. Smith, 67 P.3d 1240 (Colo.2008). Whether the DIME physician's rating has been overcome is a question of fact for determination by the ALJ. See Wackenhut Corp. v. Indus. Claim Appeals Office, 17 P.3d 202 (Colo.App.2000).

Here, the ALJ specifically found that the DIME physician's explicit opinion concerning impairment to claimant's lumbar spine and implicit opinion regarding the thoracie spine was overcome by clear and convincing evidence. Thus, as the Panel stated, the ALJ was free to consider the other medical evidence concerning claimant's permanent medical impairment. Cf. Monfort Transp. v. Indus. Claim Appeals Office, 942 P.2d 1358 (Colo.App.1997)(if a factual issue arises as to the attainment of MMI, then the ALJ must resolve that issue).

Finally, we agree with the Panel that substantial evidence supports the ALJ's finding that the DIME physician erred in failing to include a rating for permanent medical impairment to the thoracic spine.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

ion Maternity v. Burren
2020 CO 41 (Supreme Court of Colorado, 2020)
Meza v. Industrial Claim Appeals Office
2013 COA 71 (Colorado Court of Appeals, 2013)
Martinez v. Industrial Claim Appeals Office
176 P.3d 826 (Colorado Court of Appeals, 2007)
Mosley v. Industrial Claim Appeals Office
119 P.3d 576 (Colorado Court of Appeals, 2005)
Warthen v. INDUSTRIAL CLAIM APPEALS OFFICE OF STATE
100 P.3d 581 (Colorado Court of Appeals, 2004)
American Compensation Insurance Co. v. McBride
107 P.3d 973 (Colorado Court of Appeals, 2004)

Cite This Page — Counsel Stack

Bluebook (online)
78 P.3d 1150, 2003 WL 22097761, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mosley-v-industrial-claim-appeals-office-coloctapp-2003.