Opinion

BIANCO, MIRIAM v. ACADEMY OF MARYLAND FARMS

  • 2026 TN WC 41
Court
Tennessee Court of Workers' Compensation Claims
Filed
Apr 17, 2026
Status
Published
On the bench
Baker
Cited by
0 cases

The opinion

FILED

Apr 17, 2026

12:10 PM(CT)

TENNESSEE COURT OF

WORKERS' COMPENSATION

CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

IN THE COURT OF WORKERS’ COMPENSATION CLAIMS

AT NASHVILLE

MIRIAM BIANCO, Docket No. 2025-60-7253

Employee,

v.

ACADEMY OF MARYLAND

FARMS, State File No. 24482-2024

Employer,

and

STATE AUTO MUTUAL

INSURANCE COMPANY Judge Joshua D. Baker

Carrier.

EXPEDITED HEARING ORDER

At an expedited hearing on March 31, 2026, Ms. Bianco requested physician

panels for treatment of her right knee and lower back. She also requested temporary

disability benefits. For the reasons below, the Court finds Academy of Maryland

Farms provided valid panels of physicians and holds she must choose physicians

from those panels. The Court additionally denies her request for temporary benefits.

Claim History

In this accepted claim, Ms. Bianco fell on her right side at work on April 8,

2024.

She testified that her supervisor sent her to an urgent-care clinic by writing

the address down and handing it to her. Ms. Bianco denied receiving a panel. From

there, she said the insurance adjuster directed her to medical appointments.

After receiving an orthopedic referral from the clinic, Ms. Bianco saw Dr.

Lucas Richie for 14 months, until he released her at maximum recovery in

September 2025. During treatment, she mostly saw physician’s assistant Lacie

Baker.

1

After an MRI, Dr. Richie diagnosed a right-knee meniscus tear and

recommended surgery. However, Ms. Bianco preferred conservative treatment and

underwent physical therapy for her knee and back.

While she was completing physical therapy, Dr. Richie imposed restrictions,

and Ms. Bianco received temporary partial disability from February 27 through

August 25, 2025.

When she finished physical therapy, Dr. Richie recommended knee surgery

and made a referral to a spine specialist. In late July, Ms. Baker wrote, “The patient

does not wish to move forward with [knee] surgery at this time and will follow-up

on an as-needed basis.” She recommended Ms. Bianco “finish PT with her back and

then return to work without restrictions” on August 25, 2025.

Ms. Bianco expressed doubt about working without restrictions given her

back pain. Ms. Baker wrote, “[Ms. Bianco] is concerned that she is not going to be

able to lift the babies and toddlers without having severe pain although she has not

tried[.] . . . We will refer her to a spine surgeon for complete evaluation on her back.”

On September 12, 2025, Dr. Richie released Ms. Bianco at maximum

recovery and assigned 2% impairment for her back injury and 1% impairment for

her right-knee injury. Ms. Bianco disagreed and filed her petition, asserting she had

not reached maximum recovery, had an “invalid release issued by a [physician’s

assistant],” had her temporary disability benefits improperly terminated on

September 5, and had not received a panel for either her knee or back.

At trial, Ms. Bianco said she began working for a new employer on December

2 and wanted temporary benefits from September 5 through that date. She

acknowledged receiving two panels a few months after filing her petition, but she

declined to choose a doctor because Dr. Richie was a choice on one of the panels.

Findings of Fact and Conclusions of Law

To receive benefits at an expedited hearing, Ms. Bianco must prove she is

likely to prevail on her request for benefits at a final hearing. McCord v. Advantage

Human Resourcing, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27,

2015).

2

Panel of Physicians

Ms. Bianco requested new panels of physicians. The Court denies this request.

Workers’ Compensation Law details the process for selecting a treating

physician from a panel.

First, Employers are required to designate “three (3) or more independent

reputable physicians . . . from which the injured employee shall select one (1) to be

the treating physician.” Tenn. Code Ann. § 50-6-204(a)(3)(A)(i) (2025). Those

physicians must be independent, reputable, and “qualified, willing, and able to treat

timely.” Tenn. Comp. R. & Regs. 0800-02-01-.06(1) (2018). If a physician on the

panel refuses to treat the employee, the employee may either select another physician

or demand a new panel. Tenn. Code Ann. § 50-6-204(3)(G).

Second, the “employee shall select a physician[,] . . . sign and date the

completed form, and return the form to the employer.” If not, “the employee’s

receipt of treatment from any physician provided in the panel after the date the panel

was provided shall constitute acceptance of the panel and selection of the physician

from whom the employee received treatment as the treating physician[.]” Id. § 50-

6-204(a)(3)(D)(i)-(ii).

Here, Ms. Bianco testified, unrefuted, that she never received an initial panel

and did not choose Dr. Richie.1 She maintained she finally received the panel after

he treated her for an extended time, essentially asserting that the employer chose the

physician for her because she saw Dr. Richie and he was later included on a panel.

Ms. Bianco received two more panels, one for her back and one for her knee,

after she filed her petition. She refused to choose a doctor from either panel because

the knee panel included Dr. Richie, whom she deemed “non-objective.”2 She

presented no evidence that Dr. Richie refused to treat her or is unqualified. Thus, the

Court finds his inclusion on the panel was proper despite her concerns.

Since the knee panel is valid and she did not object to the doctors included on

the back panel, the Court holds that Ms. Bianco must choose from those panels. After

1

The Academy of Maryland Farms offered an adjuster’s Rule 72 declaration suggesting Ms.

Bianco chose the clinic and Dr. Richie from panels but just did not sign or return those panels.

However, the declaration was inadmissible because the declarant’s name and the signature did not

match.

2

Neither panel was introduced into evidence.

3

Ms. Bianco selects physicians and signs and dates the completed forms, the

Academy of Maryland Farms shall schedule appointments.

Temporary Disability

Ms. Bianco also requests temporary benefits from September 5 through

December 2, 2025, when she started her new job. The Court denies her request.

When a treating physician has released an injured worker to return to work

with restrictions before maximum recovery, and the employer cannot accommodate

the restrictions, the injured worker may be eligible for temporary partial disability.

Heard v. Carrier Corp., 2018 TN Wrk. Comp. App. Bd. LEXIS 16, at *5 (Apr. 20,

2018). However, Ms. Bianco had no work restrictions on August 25 and reached

maximum recovery on September 12. Given this evidence, she is unlikely to prevail

on her request for temporary disability benefits at trial.

IT IS ORDERED as follows:

1. Ms. Bianco shall select physicians from the panels of knee and back

specialists that the Academy of Maryland Farms provided. She shall sign and

date the completed forms and return them. The Academy of Maryland Farms

shall then schedule appointments.

2. Ms. Bianco’s request for temporary disability benefits is denied.

3. A status hearing is set for Monday, August 3, 2026, at 11:00 a.m. Central

Time. You must call 615-741-2113 or 855-874-0474 to participate.

ENTERED April 17, 2026.

_________________________________

JUDGE JOSHUA D. BAKER

Court of Workers’ Compensation Claims

4

Exhibits

1. Affidavit of Ms. Miriam Bianco

2. Medical records filed by Employer

3. Final Medical Report and office note of Dr. Lucas Richie dated September

15, 2025

4. Notice of Change or Termination

5. ExamWorks letter dated August 26, 2025

6. Letter signed by Dr. David West on October 10, 2025

7. Letter signed by Dr. David West on October 23, 2025

CERTIFICATE OF SERVICE

I certify that a copy of this Order was sent on April 17, 2026.

Reg. Cert.

Name Email Service sent to:

Mail Mail

Miriam Bianco

Machado, X

Employee

Emily Pfeiffer, emily.pfeiffer@libertymutual.com

Employer’s X Joanne.Lynn@LibertyMutual.com

Attorney Rachel.Dornier@libertymutual.com

____________________________________

PENNY SHRUM, COURT CLERK

wc.courtclerk@tn.gov

5

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.

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