St. Edward Mercy Med. Ctr. v. Warnock

2013 Ark. App. 518
CourtCourt of Appeals of Arkansas
DecidedSeptember 18, 2013
DocketCV-13-27
StatusPublished
Cited by2 cases

This text of 2013 Ark. App. 518 (St. Edward Mercy Med. Ctr. v. Warnock) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
St. Edward Mercy Med. Ctr. v. Warnock, 2013 Ark. App. 518 (Ark. Ct. App. 2013).

Opinion

Susan Williams Cite as 2013 Ark. App. 518 2019.01. 02 ARKANSAS COURT OF APPEALS 15:36:57 DIVISIONS II & III -06'00' No. CV-13-27

Opinion Delivered September 18, 2013

ST. EDWARD MERCY MEDICAL CENTER and SISTERS OF MERCY HEALTH SYSTEM APPEAL FROM THE ARKANSAS APPELLANTS WORKERS’ COMPENSATION COMMISSION V. [NO. F905402]

DEBORAH WARNOCK APPELLEE AFFIRMED

WAYMOND M. BROWN, Judge

Appellants, St. Edward Mercy Medical Center and its insurance carrier, Sisters of

Mercy Health System, appeal the November 27, 2013 order of the Arkansas Workers’

Compensation Commission. The order included a finding that appellants willfully and

intentionally failed to pay appellee temporary- total disability (TTD) benefits from October

11, 2011, until a date to be determined. As a result, appellants were ordered to pay a thirty-

six percent penalty until the payments were made current. The Commission also found

appellants in contempt by refusing to approve appellee’s surgical intervention for a period of

forty days and fined appellants a total of $4,000. Appellants argue that the evidence was

insufficient to support the Commission’s findings. We affirm.

This is the second time this case is before us. In our previous opinion we affirmed the

Commission’s December 15, 2010 decision that appellee was entitled to additional medical Cite as 2013 Ark. App. 518

treatment in the form of surgical intervention as recommended by Dr. Robert Bebout for her

compensable right shoulder injury and that appellee was also entitled to TTD benefits from

May 10, 2009, until a date to be determined.1 Our order affirming the Commission became

final on September 25, 2011.

Appellants took a deposition of appellee on October 3, 2011. During the deposition,

appellee acknowledged that she had received unemployment benefits while off work due to

her compensable injury. She also acknowledged that she performs some light household

chores and does some driving. On October 11, 2011, appellants made a check payable to

appellee in the amount of $25,227.27. The check covered appellee’s TTD benefits from

May 10, 2009, to October 10, 2011. On October 21, 2011, Dr. Charles E. Pearce wrote a

letter to appellants.2 In the letter, Dr. Pearce opined that appellee had reached maximum

medical improvement (MMI) as of October 21, 2011, due to the fact that appellee had not

pursued the MR arthrogram as recommended. Appellants did not pay any more TTD

benefits to appellee after the October 11, 2011 check. Appellee subsequently filed a claim

concerning her TTD benefits. She also sought to have a thirty-six percent penalty assessed

against appellants and asked that appellants be fined up to $10,000 for defying the final order

of the Commission.

The hearing took place on May 10, 2012. At the time of the hearing, appellee still had

not undergone surgery for her right shoulder. According to her testimony and the medical

1 St. Edward Mercy Med. Ctr. v. Warnock, 2011 Ark. App. 500. 2 Dr. Pearce performed an independent medical examination on appellee on June 8, 2010.

2 Cite as 2013 Ark. App. 518

evidence presented, appellants had not authorized the procedure.3 Appellants’ attorney stated

that appellants believed appellee had reached MMI as opined by Dr. Pearce because she had

not had surgery; however, he denied that appellants had ever controverted appellee’s surgery.

The Commission found in pertinent part:

To base the termination of temporary total disability benefits on the fact that the claimant has not had surgical intervention as of October 21, 2011, is ludicrous. The claimant had asked for surgery on her right shoulder at the May 20, 2010 hearing in front of this Administrative Law Judge. That surgery was controverted by the respondents. The surgery was ordered and the respondents appealed that order up to the Court of Appeals. The order for the claimant to obtain surgery became final on September 25, 2011. Then 15 days later, the respondents terminated temporary total disability benefits “based on the lack of surgery at the time or based on a non-surgical evaluation.” This demonstrates willful and intentional failure to pay temporary total disability benefits to the claimant. I also note that the respondents actually cut off the claimant’s temporary total disability benefits on October 10, 2011, and that Dr. Pearce’s letter was dated October 21, 2011, some 11 days after the respondents terminated temporary total disability benefits.

I also note that Dr. Pearce was not the claimant’s treating physician. She was seen by him at the request of the respondents. His only visit with the claimant was on June 8, 2010. He did recommend an MR arthrogram at that time. I note that this visit was less than one month after the claimant’s May 20, 2010 hearing in this matter where the respondents were contesting medical treatment for the claimant’s right shoulder. It was not the claimant’s fault that the recommendations by Dr. Pearce were not followed. It was the respondents controversion of medical treatment to the claimant’s right shoulder that caused the claimant an inability to receive that recommended treatment. The respondents in this matter shall pay a 36% penalty on the temporary total disability benefits beginning on October 11, 2010, as found in Ark. Code Ann. 11-9-802(e). The respondents shall pay the 36% penalty on all temporary total disability benefits from the October 11, 2011 until such time as those temporary total disability benefits are brought current. The claimant is and continues to be entitled to temporary total disability benefits. She will continue to be entitled to those benefits

3 The surgical procedure was subsequently authorized on May 15, 2012. Appellee was seen by Dr. Bebout on December 7, 2011; however, he wished to have MRIs of appellee’s neck and shoulder performed before any surgical intervention. Appellants did not authorize the MRIs until February 8, 2012.

3 Cite as 2013 Ark. App. 518

until the ordered surgical intervention is performed and the claimant has reached her MMI date, which is a date yet to be determined. Although the respondents shall only pay the 36% penalty on temporary total disability benefits until the date they are current.

The Commission further found appellants in contempt of its prior order by failing to

approve appellee’s surgery until May 15, 2012. It stated:

From the evidence presented both by the claimant and the respondents in this matter, it seems very clear to me that the respondents have disobeyed or resisted a lawful order of this Commission. The order from the opinion dated August 18, 2010, became final on September 25, 2011. That opinion and order were very clear that the claimant was entitled to surgical intervention on the right shoulder due to her compensable injury. The claimant did have a bout of claustrophobia that caused a delay in getting her MRI done. However, the document found at claimant’s Exhibit No. 4 page 1 is clear that on April 5, 2012 Dr. Evans scheduled surgery for the claimant on April 18th. That surgery which had been ordered was then not approved by the respondents as evidenced by the telephone contact document found at Claimant’s Exhibit No. 4 page 2 and Claimant’s Exhibit No. 4 page 3. Additional proof is found at claimant’s exhibit No. 4 page 4 in the questions asked by Wanda Clark to Dr. Bebout and Dr. Evans about whether they believed within medical certainty that the surgical intervention anticipated by the claimant was caused by her accident of May 9, 2009. Clearly that issue had been determined by the Commission.

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