Opinion

McCool, Martha v. Professional Care Services

  • 2025 TN WC App. 22
Court
Tennessee Workers' Compensation Appeals Board
Filed
Jul 10, 2025
Status
Published
On the bench
Godkin, Conner, Weaver
Cited by
0 cases

The opinion

FILED

Jul 10, 2025

08:38 AM(CT)

TENNESSEE

WORKERS' COMPENSATION

APPEALS BOARD

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

WORKERS’ COMPENSATION APPEALS BOARD

Martha McCool ) Docket No. 2022-08-0687

)

v. ) State File No. 99553-2019

)

Professional Care Services, et al. )

)

)

Appeal from the Court of Workers’ )

Compensation Claims )

Shaterra R. Marion, Judge )

Order Vacating in Part and Remanding

In this appeal, the employer challenges the trial court’s order requiring it to

authorize a second opinion examination on the issue of surgery. The employee was

injured when she was attacked in the employer’s parking lot in 2019. In 2023, the parties

entered into a settlement agreement that, among other provisions, left open the

employee’s entitlement to reasonable and necessary future medical expenses as provided

in Tennessee Code Annotated section 50-6-204. That settlement agreement was

approved by the trial court. In 2024, one of the authorized treating physicians

recommended additional surgery, which the employer’s insurer authorized. However,

prior to agreeing to undergo this surgery, the employee asked for a second opinion as to

the surgery recommendation, which the employer declined to provide. The employee

then filed a new petition asking the court to order the employer to authorize a second

opinion examination and seeking an award of attorneys’ fees. Following unsuccessful

mediation and a hearing, the trial court entered an order compelling the employer to

authorize the second opinion examination and determined the employee was entitled to

attorneys’ fees. In the order, the court instructed the employee’s attorney to file a motion

presenting additional evidence with respect to the attorneys’ fee claim, which the

employee’s attorney did. Sixteen days after the court’s order was issued, the employer

filed a notice of appeal. Because we conclude the trial court’s compensation order is

incomplete at this point, we hold this appeal in abeyance and remand the case for

additional findings.

Motions for Additional Findings

On April 23, 2025, the trial court issued a “Compensation Order Granting Medical

Benefits,” and the employer filed a notice of appeal sixteen days later, well within the

1

time limit for the appeal of a compensation order. Tenn. Code Ann. § 50-6-217(a)(2)(B).

However, that order did not resolve all pending issues in the case. Instead, the court

instructed the employee’s attorney to file a motion offering additional evidence for the

court’s consideration on the attorneys’ fee issue. The employee’s attorney filed such a

motion on May 5, and the record before us contains no response to that motion.

We addressed a similar issue in Garassino v. Western Express, Inc., No 2014-07-

0013, 2016 TN Wrk. Comp. App. Bd. LEXIS 82 (Tenn. Work. Comp. App. Bd. Nov. 7,

2016). In that case, the trial court issued a compensation order, part of which awarded

“any and all costs” related to a medical examination of an expert. Id. at *3. Twelve days

after the court issued its compensation order, the employee filed a motion for

discretionary costs, and the employer filed a response five days later. Id. The trial court

then issued another order addressing the ambiguity in its prior order and granting the

employee’s motion for discretionary costs. Id. at *4. The employer filed a notice of

appeal, which was filed more than thirty days after the court’s original compensation

order, but less than thirty days after the court’s subsequent order resolving the costs issue.

Id. The employee sought to have the appeal dismissed as untimely. Id.

In addressing the timeliness of the appeal, we concluded as follows:

Under these circumstances, and looking to substance over form, we

conclude that Employee’s motion for discretionary costs and Employer’s

response in opposition to this motion sought additional findings of fact and

conclusions of law pursuant to Rule 52.02 concerning whether Dr. West’s

fees for reviewing medical records and conducting a physical examination

of Employee were recoverable costs. Both the parties and the trial court

treated the issue as unresolved, and a subsequent hearing was conducted to

address the dispute. The trial court then issued another order that included

additional findings of fact and conclusions of law not contained in the

previous order. Having concluded that Employee’s motion was filed in

accordance with Rule 52.02, the deadline for filing a notice of appeal was

extended until after the issuance of the trial court’s order resolving the

motion as provided for in Rule 59.01. Thus, Employer’s August 9, 2016

notice of appeal was timely.

Id. at *11. Our opinion in Garassino was appealed, and the Tennessee Supreme Court’s

Special Workers’ Compensation Appeals Panel affirmed our decision. Garassino v.

Western Express, Inc., No. M2016-02431-SC-R3-WC, 2018 Tenn. LEXIS 60 (Tenn.

Workers’ Comp. Panel Feb. 8, 2018). In addressing the timeliness issue, the Appeals

Panel explained:

Whether this appeal was timely depends on the type of motion filed after

the entry of the trial court’s compensation order. In making that

2

determination, the court will look to the substance rather than form. We

agree with the Appeals Board that Rule 52.02 of the Tennessee Rules of

Civil Procedure controls in this case. Employee’s motion requested the

trial court make an additional finding regarding the amount of the

discretionary cost award. Tennessee Rule of Civil Procedure 59.01

provides that a motion made pursuant to Rule 52.02 extends the time for

initiating an appeal. Accordingly, we affirm the Appeal Board’s conclusion

that Employer’s appeal was timely.

Id. at *6 (internal quotation marks and citation omitted). We conclude a similar analysis

is appropriate here. Although the trial court issued a “Compensation Order” on April 23,

the terms of that order required the employee’s attorney to file a motion and submit

additional evidence. That motion was filed but, to date, the court has not ruled on it. In

considering substance over form, we conclude the employee’s motion sought additional

findings pursuant to Tennessee Rule of Civil Procedure 52.02, and we further conclude

the filing of that motion “extend[ed] the time for taking steps in the regular appellate

process” as provided in Tennessee Rule of Civil Procedure 59.01.

As a result, we remand the case for the trial court to address the pending motion

and make additional findings with respect to the claim for attorneys’ fees. Until the court

issues an order resolving that issue, this appeal is held in abeyance. The appeal will

proceed in the normal course once the trial court issues its order.

Legal Standard for Awards of Attorneys’ Fees

For purposes of efficiency on remand, we also address the court’s determination

that the employee’s attorney is entitled to an attorney’s fee. The court concluded that the

employer’s refusal to authorize the second opinion examination was “erroneous,

incorrect, or otherwise inconsistent with the law or facts.” In applying that standard, the

court relied on our opinion in Walls v. United Techs. Corp., No. 2019-05-0371, 2019 TN

Wrk. Comp. App. Bd. LEXIS 27, at *16-17 (Tenn. Workers’ Comp. App. Bd. Aug. 6,

2021). In Walls, we defined the word “wrongfully” as used in the context of a claim for

attorneys’ fees brought pursuant to Tennessee Code Annotated section 50-6-226(d)(1)(B)

(2018). Id. at *17-18. We also made clear that a party seeking attorneys’ fees can seek

to prove entitlement to such fees under subsection 226(d)(1)(A), subsection 226(d)(1)(B),

or both, as the evidence may show. Id.

However, in 2023, the General Assembly amended Tennessee Code Annotated

section 50-6-226(d)(1). It deleted the word “wrongfully” in subsection 226(d)(1)(B) and

inserted the word “unreasonably.” See 2023 Pub. Chap. 145, § 10. To date, we have not

been asked to address the impact of that amendment on an employee’s claim for

attorneys’ fees under subsection 226(d)(1). As a result, there has been no analysis

following the 2023 amendment addressing whether the word “unreasonably” in the

3

context of this statute has the same or a different meaning as the word “wrongfully.” 1

We therefore vacate the trial court’s order to the extent it did not include an analysis of

the correct legal standard in assessing the employee’s entitlement to an award of

attorneys’ fees given the 2023 amendment to subsection 226(d)(1)(B). On remand,

therefore, the court should address whether the employee is entitled to an award of

attorneys’ fees under the current version of Tennessee Code Annotated section 50-6-

226(d)(1) and, if so, the amount of any such award.

Given the conclusions we have reached in this order, we CANCEL the oral

argument currently scheduled for August 1, 2025, and we REMAND the case for the trial

court to take further action as outlined above.

PER CURIAM

1

2023 Public Chapter 145 also makes clear that the amendment to subsection 226(d)(1) “takes effect

upon becoming a law.” The bill was signed into law by the Governor on April 13, 2023. The actions

forming the basis of the employee’s claim for attorneys’ fees occurred after that date.

4

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

WORKERS’ COMPENSATION APPEALS BOARD

Martha McCool ) Docket No. 2022-08-0687

)

v. ) State File No. 99553-2019

)

Professional Care Services, et al. )

)

)

Appeal from the Court of Workers’ )

Compensation Claims )

Shaterra R. Marion, Judge )

CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the Appeals Board’s order in the referenced case

was sent to the following recipients by the following methods of service on this the 10th day of

July, 2025.

Name Certified First Class Via Via Sent to:

Mail Mail Fax Email

Gregory H. Fuller X ghfuller@mijs.com

Brayden Hunter brhunter@mijs.com

Jonathan May X jmay@forthepeople.com

jvavak@forthepeople.com

Penny Shrum, Clerk, Court of X penny.patterson-shrum@tn.gov

Workers’ Compensation Claims

Olivia Yearwood

Clerk, Workers’ Compensation Appeals Board

220 French Landing Dr., Ste. 1-B

Nashville, TN 37243

Telephone: 615-253-1606

Electronic Mail: WCAppeals.Clerk@tn.gov

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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