One Hour Cleaners v. Industrial Claim Appeals Office

914 P.2d 501, 19 Brief Times Rptr. 1873, 1995 Colo. App. LEXIS 353, 1995 WL 755086
CourtColorado Court of Appeals
DecidedDecember 21, 1995
Docket95CA0178
StatusPublished
Cited by228 cases

This text of 914 P.2d 501 (One Hour Cleaners 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.

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One Hour Cleaners v. Industrial Claim Appeals Office, 914 P.2d 501, 19 Brief Times Rptr. 1873, 1995 Colo. App. LEXIS 353, 1995 WL 755086 (Colo. Ct. App. 1995).

Opinions

Opinion by

Judge NEY.

In this workers’ compensation casé, petitioners, One Hour Cleaners, and its insurer, State Farm Fire & Casualty Company, seek review of a final order of the Industrial Claim Appeals Panel (Panel) ordering petitioners to pay for thermographic diagnostic procedures performed on Susan Vickery (claimant). We affirm.

Claimant sustained an industrial injury in the course of her employment. Her authorized treating physician referred her to another doctor for treatment of reflex sympathetic dystrophy. Petitioners refused to authorize the doctor and claimant petitioned for a change of authorized treating physician. After mediation and a hearing, the Administrative Law Judge (ALJ) authorized the change of physician and ordered petitioners to pay for all reasonable and necessary services provided by the physician.

Claimant’s authorized physician determined that thermographic studies would aid in the diagnosis of claimant’s reflex sympathetic dystrophy. Petitioners refused to pay for the thermography, but did not seek a medical utilization review of the recommended procedure. Claimant sought a hearing on the specific issue of petitioners’ responsibility to pay for the thermography.

Petitioners filed a motion asserting that the scheduled hearing should be vacated because thermography was a medical benefit and there had been no mediation as to its authorization. Apparently, this motion was ignored and the matter proceeded to a hearing.

At the hearing, petitioners requested that the ALJ take judicial notice of several documents, including: (1) a final notice of the Health Care Financing Administration (HCFA) published in the Federal Register announcing the withdrawal of Medicare coverage for thermography for all indications; (2) a 1992 “advisory statement” of the American Academy of Orthopedic Surgeons stating its belief, as of the date of the statement, that thermography as a clinically useful diagnostic or prognostic test in orthopedic surgery could not be scientifically justified; (3) a 1993 resolution of the American Medical Association stating its policy that, as of the resolution’s date, the use of thermography for diagnostic purposes could not be recommended; and (4) an unsigned resolution of the American College of Radiology stating its position that “thermography has not been demonstrated to have value as a screening, diagnostic, or adjunctive imaging tool.” The ALJ ruled that she would not take judicial notice of these documents because judicial notice could only be taken of matters that are not subject to reasonable dispute.

Finally, the ALJ refused to allow petitioners to call an expert witness on the ground that they had failed to endorse the witness properly. Petitioners made an oral offer of proof of the expert’s testimony.

The ALJ ruled that the thermography was reasonable and necessary and ordered petitioners to pay for the procedure. The Panel affirmed.

I.

Petitioners argue that the thermo-graphic studies fall under the category of “authorized medical benefits” and therefore [504]*504the issue should have been mediated prior to the hearing. We disagree.

During the period relevant to this case, the Workers’ Compensation Act mandated mediation for disputes involving a claimant’s average weekly wage, changes in a claimant’s health care provider, or authorized medical benefits. Colo. Sess. Laws 1991, ch. 219, § 8-43-205(1) at 1316.

In workers’ compensation proceedings, “authorization” means “a physician’s status as the health care provider legally authorized to treat an injured worker.” Mason Jar Restaurant v. Industrial Claim Appeals Office, 862 P.2d 1026, 1029 (Colo.App.1993). Thus, contrary to petitioners’ contention, “authorization” refers to the treating physician rather than the particular medical treatment or procedure recommended by the authorized treating physician.

Petitioners’ construction of “authorized medical benefits” would mean that each medical procedure proposed by an authorized treating physician and objected to by an insurer would be subject to mediation. Such a result would be contrary to the legislative purpose of the workers’ compensation scheme, which is to assure quick and efficient delivery of disability and medical benefits to injured workers without litigation. See § 8-40-102(1), C.R.S. (1995 Cum.Supp.).

We agree with the Panel that, because “authorized medical benefits” refers to the legal authority of a provider to deliver care to a claimant, there was no requirement to mediate the issue.

II.

Petitioners next contend that the ALJ erred in refusing to take judicial notice of the positions of a federal agency and three medical professional organizations concerning the effectiveness of thermography. We find no error requiring reversal.

CRE 201(b) provides that, for an adjudicative fact to be subject to judicial notice, it “must be one not subject to reasonable dispute in that it is either (1) generally known within the territorial jurisdiction of the trial court or (2) capable of accurate and ready determination by resort to sources whose accuracy cannot reasonably be questioned.”

Judicial notice may be taken of matters of public record and of common knowledge to an interested public. See In Re Interrogatory by Governor Romer, 814 P.2d 875 (Colo.1991). Also, rules and regulations promulgated by a governmental agency pursuant to the agency’s statutory authority and published in an official state publication, such as Code of Colorado Regulations, may be judicially noticed. Westfall v. Town of Hugo, 851 P.2d 299 (Colo.App.1993).

However, judicial notice is to be used cautiously and only in cases in which the matters to be so noticed are of such common knowledge that they cannot reasonably be disputed. Prestige Homes, Inc. v. Legouffe, 658 P.2d 850 (Colo.1983).

One of the documents presented for judicial notice by petitioners, was published in the Federal Register by a federal agency pursuant to 44 U.S.C. § 1507 (1988). That document was a final notice of the HCFA announcing the withdrawal of Medicare coverage of thermography for all indications based on HCFA’s determination that ther-mography is not effective in diagnosing or treating illness or injury. 57 Fed.Reg. 54799 (November 20, 1992).

44 U.S.C. § 1507 provides:

A document required by section 1505(a) of this title to be published in the Federal Register is not valid as against a person who has not had actual knowledge of it until the duplicate originals or certified copies of the document have been filed with the Office of the Federal Register and a copy may be available for public inspection as provided by section 1503 of this title.

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One Hour Cleaners v. Industrial Claim Appeals Office
914 P.2d 501 (Colorado Court of Appeals, 1995)

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914 P.2d 501, 19 Brief Times Rptr. 1873, 1995 Colo. App. LEXIS 353, 1995 WL 755086, Counsel Stack Legal Research, https://law.counselstack.com/opinion/one-hour-cleaners-v-industrial-claim-appeals-office-coloctapp-1995.