Via Christi Hospitals Wichita, Inc. v. Kan-Pak, LLCAnnotate this Case
In this fee dispute between a hospital that provided medical services to an injured worker and a workers compensation carrier that paid the hospital less than the billed amount for those services the Supreme Court reversed the opinion of the court of appeals reversing the decision of the Workers Compensation Appeals Board upholding a hearing officer's ruling in favor of the carrier, holding that the relief sought by the hospital and ordered by the court of appeals could not be granted in this proceeding.
In ruling in favor of the carrier, the hearing officer held that the carrier had appropriately paid the amount required by the schedule for maximum medical fees established by the director of the Division of Workers Compensation. The Board affirmed. The court of appeals reversed, concluding that the Board's enforcement of the maximum medical fee schedule was arbitrary, capricious, and unreasonable because the applicable fee limiting provision had been accidentally created. The Supreme Court reversed, holding (1) the issue of the rulemaking by the director, and the results of any accidental rulemaking, were not properly before the Board; and (2) the Board's refusal to expand the parameters of the fee dispute statute was not unreasonable, arbitrary or capricious.