Legal Opinion
Children's National Medical Center v. District of Columbia Department of Employment Services
District of Columbia Court of Appeals
Decided April 8, 2010No. 09-AA-58PublishedCited by 8 opinions
1Opinion of the Court
FISHER, Associate Judge:
In the workers’ compensation system, utilization review (“UR”) is a statutory procedure for determining “the necessity, character, or sufficiency of any medical care or service furnished or scheduled to be furnished” to an injured employee. D.C.Code § 32-1507(b)(6)(A) (2001). In this case, the Department of Employment Services (“DOES”) held that the UR process had been completed although the employee’s physician had not sought reconsideration of an adverse opinion. Holding that the agency’s decision was based on a permissible interpretation of the statute, we affirm.
I.…
2Cases cited19 opinions
- Consolidated Edison Co. v. National Labor Relations BoardSupreme Court of the United States · 1938
- American Manufacturers Mutual Insurance v. SullivanSupreme Court of the United States · 1999
- Ferreira v. District of Columbia Department of Employment ServicesDistrict of Columbia Court of Appeals · 1987
- Thomas v. District of Columbia Department of LaborDistrict of Columbia Court of Appeals · 1979
- William David Hensley v. Washington Metropolitan Area Transit AuthorityCourt of Appeals for the D.C. Circuit · 1981
14 more not listed; retrieve them via the Exa API.
3Cited by8 opinions
- Mirna Placido v. District of Columbia Department of Employment Services and Compass Group USA, Inc. and Gallagher Bassett ServicesDistrict of Columbia Court of Appeals · 2014
- WILLIAM H. DUPREE v. DISTRICT OF COLUMBIA DEPARTMENT OF CORRECTIONS and DISTRICT OF COLUMBIA OFFICE OF EMPLOYEE APPEALSDistrict of Columbia Court of Appeals · 2016
- Dupree v. District of Columbia Office of Employee AppealsDistrict of Columbia Court of Appeals · 2011
- Kevin v. Reynolds v. District of Columbia Department of Employment Services and Canon Business Solutions and Broadspire Insurance Co.District of Columbia Court of Appeals · 2014
- Lincoln Hockey, LLC v. District of Columbia Department of Employment ServicesDistrict of Columbia Court of Appeals · 2010
3 more not listed; retrieve them via the Exa API.