Tiznado v. Orlando Regional Healthcare System

The claimant appeals a workers’ compensation order by which her claim for medical care was denied. We conclude that the judge should not have applied the provider reimbursement manual to this dispute between the claimant and the employer, and that the care should have been awarded pursuant to section 440.13(2)(a), Florida Statutes, upon the judge’s determination of medical necessity.

The claimant sustained industrial injuries and underwent multiple surgeries, with an authorized doctor thereafter recommending pain management processes and therapy, while prescribing various medications and…