Opinion

MCCOOL, MARTHA v. PROFESSIONAL CARE SERVICES

  • 2025 TN WC 59
Court
Tennessee Court of Workers' Compensation Claims
Filed
Aug 13, 2025
Status
Published
On the bench
Marion
Cited by
0 cases

The opinion

FILED

Aug 13, 2025

02:51 PM(CT)

TENNESSEE COURT OF

WORKERS' COMPENSATION

CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

IN THE COURT OF WORKERS’ COMPENSATION CLAIMS

AT MEMPHIS

MARTHA MCCOOL, ) Docket No.: 2022-08-0687

Employee, )

v. )

PROFESSIONAL CARE SERVICES, ) State File No.: 99553-2019

Employer, )

And )

BRIDGEFIELD CAS. INS. CO., ) Judge Shaterra R. Marion

Insurer. )

____________________________________________________________________________

COMPENSATION ORDER DENYING ATTORNEY’S FEES

Ms. McCool filed a petition asking that the Court furnish a second opinion regarding

surgery recommended by the authorized treating physician. She also asked for attorney’s

fees for Professional Care Services’ failure to furnish that opinion.

The Court ordered the second opinion and determined Ms. McCool was entitled to

attorney’s fees. The Court instructed Ms. McCool to file a motion for those fees, and she

did. However, Professional Care Services appealed the compensation order before

responding to the motion. Thus, the Appeals Board vacated the attorney’s fees award and

remanded for additional findings considering the current unreasonable denial standard in

Tennessee Code Annotated section 50-6-226(d)(1)(B) (2024).

After allowing both parties to supplement their filings, the Court holds Ms. McCool

is not entitled to attorney’s fees.

Section 50-6-226(d)(1) provides:

[T]he court of workers’ compensation claims may award reasonable

attorneys’ fees . . . incurred when the employer:

(A) Fails to furnish appropriate medical . . . treatment or care . . . to an

employee provided for in a[n] . . . expedited hearing order, compensation

hearing order, or judgment under this chapter; or

(B) Unreasonably . . . fails to timely initiate any of the benefits to which the

employee or dependent is entitled under this chapter, including medical

benefits under § 50-6-204, . . . if the workers’ compensation judge makes a

finding that the benefits were owed at an expedited hearing or compensation

hearing.

Ms. McCool states in her brief that she only seeks an award of attorney’s fees under

subsection (A) of the statute. She contends that she is entitled to attorney’s fees because

she was entitled to a second opinion under law and Professional Care Services failed to

provide it.

Professional Care Services, on the other hand, argues that Ms. McCool is not

entitled to attorney’s fees under subsection (A) because a second opinion is not “treatment”

as contemplated in section 226 but merely an evaluation.

The Court agrees with Professional Care Services. A second opinion does not

constitute treatment, but is merely that, an opinion. Though the Court ordered another

opinion, that does not transform the opinion into treatment. Thus, an opinion does not fall

within the contemplated “treatment or care” in subsection 226(d)(1)(A) that would allow

attorney’s fees for failing to provide it.

While Ms. McCool did not seek attorney’s fees under subsection (B), the Appeals

Board directed that the Court address Ms. McCool’s entitlement to fees under that

subsection. The Court holds Ms. McCool would not be entitled to them.

Effective April 13, 2023, the standard for fees under subsection (B) was changed

from a “wrongful” denial to an “unreasonable” denial. The Appeals Board has not offered

guidance on the definition of “unreasonable” in this context since the statutory change.

Dictionaries define “unreasonable” as: “Not guided by reason; irrational or capricious,”

Black’s Law Dictionary 1537 (7th ed. 1999); “Not governed by or acting according to

reason; not conformable to reason: absurd; exceeding the bounds of reason or moderation,”

Merriam-Webster Dictionary, https://www.merriam-

webster.com/dictionary/unreasonable (last visited August 12, 2025).

Professional Care Services argues that fees under subsection (B) would be improper

because its denial of a second opinion was not “unreasonable.” Rather, the decision to deny

the second opinion was based on a reasonable interpretation of Tennessee authority,

including section 204(a)(3)(C).

Although the Court disagreed with Professional Care Services’ interpretation and

awarded a second opinion, Professional Care Services’ actions did not amount to “irrational

or capricious,” or “absurd” conduct under accepted dictionary definitions and was not

unreasonable.

Therefore, the Court holds that Ms. McCool is not entitled to attorney’s fees under

either statutory subsection.

IT IS ORDERED.

ENTERED August 13, 2025.

________________________________________

Judge Shaterra R. Marion

Court of Workers’ Compensation Claims

CERTIFICATE OF SERVICE

I certify that a copy of this order was sent as indicated on August 13, 2025.

Name Email Service sent to:

Jonathan May, X jmay@forthepeople.com

Employee’s Attorney jvavak@forthepeople.com

Brayden Hunter, X brhunter@mijs.com

Gregory Fuller, ghfuller@mijs.com

Employer’s Attorneys

_____________________________________

Penny Shrum, Court Clerk

Court of Workers’ Compensation Claims

WC.CourtClerk@tn.gov

Right to Appeal:

If you disagree with the Court’s Order, you may appeal to the Workers’ Compensation

Appeals Board. To do so, you must:

1. Complete the enclosed form entitled “Notice of Appeal” and file it with the Clerk of the

Court of Workers’ Compensation Claims before the expiration of the deadline.

¾ If the order being appealed is “expedited” (also called “interlocutory”), or if the

order does not dispose of the case in its entirety, the notice of appeal must be filed

within seven (7) business days of the date the order was filed.

¾ If the order being appealed is a “Compensation Order,” or if it resolves all issues

in the case, the notice of appeal must be filed within thirty (30) calendar days of

the date the Compensation Order was filed.

When filing the Notice of Appeal, you must serve a copy on the opposing party (or attorney,

if represented).

2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten calendar

days after filing the Notice of Appeal. Payments can be made in-person at any Bureau office

or by U.S. mail, hand-delivery, or other delivery service. In the alternative, you may file an

Affidavit of Indigency (form available on the Bureau’s website or any Bureau office)

seeking a waiver of the filing fee. You must file the fully-completed Affidavit of Indigency

within ten calendar days of filing the Notice of Appeal. Failure to timely pay the filing

fee or file the Affidavit of Indigency will result in dismissal of your appeal.

3. You are responsible for ensuring a complete record is presented on appeal. If no court

reporter was present at the hearing, you may request from the Court Clerk the audio

recording of the hearing for a $25.00 fee. If you choose to submit a transcript as part of your

appeal, which the Appeals Board has emphasized is important for a meaningful review of

the case, a licensed court reporter must prepare the transcript, and you must file it with the

Court Clerk. The Court Clerk will prepare the record for submission to the Appeals Board,

and you will receive notice once it has been submitted. For deadlines related to the filing of

transcripts, statements of the evidence, and briefs on appeal, see the applicable rules on the

Bureau’s website at https://www.tn.gov/wcappealsboard. (Click the “Read Rules” button.)

4. After the Workers’ Compensation Judge approves the record and the Court Clerk transmits

it to the Appeals Board, a docketing notice will be sent to the parties.

If neither party timely files an appeal with the Appeals Board, the Court Order

becomes enforceable. See Tenn. Code Ann. § 50-6-239(d)(3) (expedited/interlocutory

orders) and Tenn. Code Ann. § 50-6-239(c)(7) (compensation orders).

For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.

NOTICE OF APPEAL

Tennessee Bureau of Workers’ Compensation

www.tn.gov/workforce/injuries-at-work/

wc.courtclerk@tn.gov | 1-800-332-2667

Docket No.: ________________________

State File No.: ______________________

Date of Injury: _____________________

___________________________________________________________________________

Employee

v.

___________________________________________________________________________

Employer

Notice is given that ____________________________________________________________________

[List name(s) of all appealing party(ies). Use separate sheet if necessary.]

appeals the following order(s) of the Tennessee Court of Workers’ Compensation Claims to the

Workers’ Compensation Appeals Board;ĐŚĞĐŬŽŶĞŽƌŵŽƌĞĂƉƉůŝĐĂďůĞďŽdžĞƐĂŶĚŝŶĐůƵĚĞƚŚĞĚĂƚĞĨŝůĞͲ

ƐƚĂŵƉĞĚŽŶƚŚĞĨŝƌƐƚƉĂŐĞŽĨƚŚĞŽƌĚĞƌ;ƐͿďĞŝŶŐĂƉƉĞĂůĞĚͿ͗

ප Expedited Hearing Order filed on _______________ ප Motion Order filed on ___________________

ප Compensation Order filed on__________________ ප Other Order filed on_____________________

issued by Judge _________________________________________________________________________.

Statement of the Issues on Appeal

Provide a short and plain statement of the issues on appeal or basis for relief on appeal:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Parties

Appellant(s) (Requesting Party): _________________________________________ ‫܆‬Employer ‫܆‬Employee

Address: ________________________________________________________ Phone: ___________________

Email: __________________________________________________________

Attorney’s Name: ______________________________________________ BPR#: _______________________

Attorney’s Email: ______________________________________________ Phone: _______________________

Attorney’s Address: _________________________________________________________________________

* Attach an additional sheet for each additional Appellant *

LB-1099 rev. 01/20 Page 1 of 2 RDA 11082

Employee Name: _______________________________________ Docket No.: _____________________ Date of Inj.: _______________

Appellee(s) (Opposing Party): ___________________________________________ ‫܆‬Employer ‫܆‬Employee

Appellee’s Address: ______________________________________________ Phone: ____________________

Email: _________________________________________________________

Attorney’s Name: _____________________________________________ BPR#: ________________________

Attorney’s Email: _____________________________________________ Phone: _______________________

Attorney’s Address: _________________________________________________________________________

* Attach an additional sheet for each additional Appellee *

CERTIFICATE OF SERVICE

I, _____________________________________________________________, certify that I have forwarded a

true and exact copy of this Notice of Appeal by First Class mail, postage prepaid, or in any manner as described

in Tennessee Compilation Rules & Regulations, Chapter 0800-02-21, to all parties and/or their attorneys in this

case on this the __________ day of ___________________________________, 20 ____.

______________________________________________

[Signature of appellant or attorney for appellant]

LB-1099 rev. 01/20 Page 2 of 2 RDA 11082

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.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.