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July 13, 2018 by Jennifer Kennedy

Workers’ compensation — Attendant care — Evidence — Judge of compensation claims erroneously accorded presumption of correctness to expert medical advisor’s opinion with regard to claimant’s need for attendant care where evidence did not demonstrate sufficient disagreement in the opinions of health care providers as to whether attendant care benefits were medically necessary at time of hearing or whether any need for attendant care was caused by compensable accident — JCC should have considered EMA’s testimony without presumption of correctness ordinarily granted to EMA opinions

43 Fla. L. Weekly D1549a

Workers’ compensation — Attendant care — Evidence — Judge of compensation claims erroneously accorded presumption of correctness to expert medical advisor’s opinion with regard to claimant’s need for attendant care where evidence did not demonstrate sufficient disagreement in the opinions of health care providers as to whether attendant care benefits were medically necessary at time of hearing or whether any need for attendant care was caused by compensable accident — JCC should have considered EMA’s testimony without presumption of correctness ordinarily granted to EMA opinions

MARLENE ALTEMAR, Appellant/Cross-Appellee, v. LIFESPACE COMMUNITIES, INC., d/b/a Abbey Delray South, SENTRY CLAIMS SERVICES and SENTRY CASUALTY COMPANY, Appellees/Cross-Appellants. 1st District. Case No 1D16-2129. July 9, 2018. Dates of Accident: December 26, 2011 and July 12, 2013. On appeal from the Office of the Judges of Compensation Claims. Timothy M. Basquill, Judge. Counsel: Kimberly A. Hill of Kimberly A. Hill, P.L., Fort Lauderdale, for Appellant/Cross-Appellee. William H. Rogner of Hurley, Rogner, Miller, Cox & Waranch, P.A., Winter Park, for Appellees/Cross-Appellants.

(PER CURIAM.) Claimant challenges an order of the Judge of Compensation Claims (JCC), and the Employer/Carrier (E/C) on cross-appeal challenges another aspect of the order. We find that the JCC accorded a presumption of correctness to the expert medical advisor (EMA) with regard to the Claimant’s need for attendant care, and that this presumption was inappropriate because the evidence does not demonstrate a sufficient disagreement in the opinions of the health care providers on that ground. See § 440.13(9)(c), Fla. Stat. (2013); Guerra v. C.A. Lindman, Inc., 146 So. 3d 527, 529 (Fla. 1st DCA 2014) (reversing order appointing EMA because there was no disagreement in the opinions of the health care providers, in that the opinions of some of the doctors were stale). The E/C’s independent medical examiner did not render a definitive opinion as to whether attendant care benefits were medically necessary at the time of the hearing, or whether the need for attendant care was caused by the compensable accident. As such, the JCC should have considered the EMA’s testimony regarding Claimant’s need for attendant care without the presumption of correctness ordinarily granted to EMA opinions. See Lowe’s Home Ctrs., Inc. v. Beekman, 187 So. 3d 318, 319-20 (Fla. 1st DCA 2016) (holding that unsolicited opinions from EMA are treated as any other expert opinion, and not accorded a presumption of correctness).

We reject all other issues on appeal, including the E/C’s cross-appeal.

AFFIRMED in part, REVERSED in part, and REMANDED for further proceedings in accordance with this opinion. (KELSEY, WINOKUR, and WINSOR, JJ., concur.)

* * *

Filed Under: Uncategorized

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