In This Issue Workers' Compensation Newsletter Case Law Update: Substantial Evidence Requirement Case Law Update: Substantial Evidence Requirement Refuting Claimant's Medical Evidence The Diamond Spotlight Important W/C Notes GWB Accomplishments Dates to Remember Workers' Compensation Group Attorneys Mills Gallivan Shareholder Debbie Brown Shareholder Michelle Yarbrough Partner/Group Leader Cory Ezzell Shareholder Will Harbison Partner Jared Simms Partner Jared Pretulak Authors: Jared Pretulak, Rocky Rogers & Amity Edmonds Recently, the South Carolina Court of Appeals interpreted the "substantial evidence" standard as it relates to whether the Commission is required to give conclusive effect to expert/medical opinions. Burnette v. City of Greenville, No. 5059, 2012 WL 6028904 (S.C. Ct. App. Dec. 5, 2012). In Burnette, the claimant's attorney submitted a medical questionnaire which stated the claimant's pre-existing back condition had been aggravated as a result of her work accident. Instead of deposing the medical expert or providing contradictory medical expert evidence, the defendants relied on isolated medical records to support their argument that the claimant's pre-existing condition had not been aggravated. Essentially, there was no evidence in the record challenging the conclusions of the medical experts. The Hearing Commissioner and Appellate Panel denied compensation for the claimant's alleged back injury. The South Carolina Court of Appeals reversed the Order of the circuit court affirming the decision of the Appellate Panel, holding that the record provided "little or no support for the findings of the Commission." In so holding, the court noted that the Commissioner's finding regarding the significance of medical evidence (an MRI) was "particularly disturbing" because the opinion did not originate from a medical provider, but was simply the Hearing Commissioner's opinion based upon her interpretation of the medical evidence. The South Carolina Court of Appeals remanded the case to the Commission with specific instructions to reconsider the issues and enter findings of fact concerning compensability of the lumbar spine that are supported by substantial evidence in the record. Practical Implications of Burnette: Based upon this recent decision, to satisfy the "substantial evidence" standard it would appear Defendants have an affirmative obligation to address evidence submitted by the claimant, especially when such evidence comes from a medical expert. Associate Rocky Rogers Associate Accordingly, Defendants should either (1) depose the claimant's medical expert, or (2) obtain an Independent Medical Exam, to ensure substantial evidence exists to support the Defendants' position. Failure to do so may negatively affect the outcome of the case. Amber Dorrell Associate For more information on how the Burnette decision will impact your workers' compensation matters in South Carolina, please contact any of our workers' compensation attorneys. We will be glad to assist with your legal needs. Brittany Lozanne Associate The Diamond Spotlight T. Cory Ezzell has been elected to become a shareholder with the firm. Since joining GWB as an associate in 2006, Ezzell has served as a member of the firm's Workplace Practices Group. His practice focuses on the defense of employment and workers' compensation matters on behalf of employers, insurance carriers, self-insured corporations, third party administrators, and claims servicing agencies. Ezzell leads GWB's Medicare Set-Aside team and offers extensive experience in working with MSA providers to resolve complex workers' compensation matters. Leigha Sink Associate Amity Edmonds Associate Catherine Hallman Associate Quick Links GWB Website SC Comp Calculator NC Comp Calculator NC Workers' Comp Helpful Hints Sheet SC Workers' Comp Helpful Hints Sheet Cory Ezzell Shareholder J. Jared Simms Charlotte, North employment and insurance carriers, claims servicing has served as a leads the firm's has been elected to become a partner in the firm's Carolina office. Simms' practice focuses on the defense of workers' compensation matters on behalf of employers, self-insured corporations, third party administrators, and agencies. Simms joined GWB as an associate in 2011 and member of the firm's Workplace Practices Group. He now North Carolina workers' compensation practice. Jared Simms Partner Join Our Mailing List Catherine Hallman has joined the firm's Charlotte office as an associate on its workers' compensation team. Hallman earned her Juris Doctor from the Elon University School of Law. Prior to law school, Hallman worked as a licensed North Carolina and South Carolina workers' compensation adjuster for a major insurance carrier. Her experience provides Hallman with a unique perspective and understanding of workers' compensation law. Catherine Hallman Associate Important W/C Notes The 2013 maximum weekly compensation rate for South Carolina is $743.72. This rate took effect for injuries on or after January 1, 2013. The 2013 maximum weekly compensation rate for North Carolina is $884.00. This rate also took effect for injuries on or after January 1, 2013. Effective January 1, 2013, the new mileage reimbursement rate in South Carolina is 56.5 cents per mile. Regulation 67-1601 A (1) provides the expenses incurred for travel to receive medical attention which shall be reimbursed to the claimant are mileage to and from a place of medical attention which is more than five miles away from home. GWB Accomplishments GWB's Columbia Office Ranked a Tier 1 Workers' Compensation Law Firm by U.S. News and Best Lawyers Mills Gallivan Named Greenville Workers' Compensation Lawyer of the Year by Best Lawyers Twenty-One Gallivan, White & Boyd, P.A. Attorneys Named to Best Lawyers in America Dates to Remember February 8th, 2013 from 5:00 pm until 8:00 pm: Kids' Chance of South Carolina BBQ and Bluegrass at Fluor Daniel, Greenville, SC o For more information or tickets, contact Amity Edmonds at aedmonds@gwblawfirm.com or 864-271-5383 February 8th - 9th: NC Workers' Compensation Annual Meeting, Grandover Resort, Greensboro, NC o For more information: http://www.ncbar.org/cle/programs/995wcm February 24th - 26th: SCWCEA 34th Annual Medical Seminar, Francis Marion Hotel, Charleston, SC o For more information: http://www.scwcea.org/2013_medsem/home.html October 20th - 23rd: SCWCEA 37th Annual Educational Conference on Workers' Compensation, Marriot Myrtle Beach Resort & Spa at Grande Dunes, Myrtle Beach, SC o For more information: http://www.scwcea.org/events.html Gallivan, White & Boyd, P.A. - Attorneys at Law Columbia, SC ~ Greenville, SC ~ Charlotte, NC (803) 779-1833 ~ (864) 271-9580 ~ (704) 552-1712