What the panel ordered
Petition for reconsideration granted; June 13, 2024 Findings and Order rescinded; matter returned to trial level for further proceedingsp. 6
Applicant’s petition for reconsideration of WCJ’s June 13, 2024 Findings and Order denying additional PQMEs
What was disputed, and how it came out
Each issue the panel decided, with the reasoning it gave. An outcome is what this panel did on this record — not a rule, and not a prediction.
QME/AME processApplicant prevailedcardiology · psychiatry · internal medicine (diabetes)
Dr. Sommer’s opinion regarding relationship between musculoskeletal condition and diabetes, and between MCTD and heart disease, plus applicant’s multiple injuries and persistent multifocal complaints, require development of the record
From the decision · page 5Therefore, we conclude that applicant is entitled to additional PQMEs in cardiology and internal medicine given Dr. Sommer’s opinion regarding the relationship between applicant’s musculoskeletal condition and his diabetes and the relationship between applicant’s diagnosis of Mixed Connective Tissue Disease (MCTD) and his heart disease.