            TENNESSEE BUREAU OF WORKERS’ COMPENSATION
           IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
                          AT MURFREESBORO

WILLIAM BAUMGARDNER,                                    Docket No.: 2015-05-0619
         Employee,
v.
UPS,                                                    State File No.: 89624-2014
         Employer,
And
LIBERTY MUTUAL,                                         Judge Dale Tipps
         Insurance Carrier.



                         COMPENSATION HEARING ORDER


       This matter came before the undersigned Workers’ Compensation Judge on June
20, 2017, for a Compensation Hearing pursuant to Tennessee Code Annotated section 50-
6-239 (2016). The central legal issues are: (1) whether William Baumgardner is
permanently and totally disabled as a result of his injuries; (2) if he is not totally disabled,
to what permanent partial disability benefits is he entitled; and (3) whether he is entitled
to a new panel of orthopedic physicians. For the reasons set forth below, the Court holds
that Mr. Baumgardner established by a preponderance of the evidence that he sustained a
compensable left-knee injury and is entitled to medical benefits, including a panel of
orthopedic specialists. The Court further holds Mr. Baumgardner failed to meet his
burden of establishing entitlement to permanent disability benefits.

                                      History of Claim

                                         Stipulations

       UPS stipulated to the following: Mr. Baumgardner sustained a compensable injury
by accident arising out of and in the course and scope of his employment as a delivery
driver on November 11, 2014. He gave proper notice of the injury and received
authorized medical treatment with Dr. James Rungee. UPS further stipulated that it was
unable to return Mr. Baumgardner to work because of the permanent restrictions assigned
                                               1
by Dr. Rungee.

                                   Mr. Baumgardner’s Trial Testimony

       Mr. Baumgardner testified that he never had any left-knee problems or medical
treatment prior to November 11, 2014. While delivering a package on that day, he
defended himself from an aggressive dog. He twisted his left knee in the process and felt
immediate pain. He tried to keep working but soon had to call his supervisor, who sent a
replacement driver and took Mr. Baumgardner for medical treatment with Dr. Martin
Glynn. After treating Mr. Baumgardner for a few days, Dr. Glynn ordered a left-knee
MRI, which led to an orthopedic referral. UPS provided an orthopedic panel, from which
Mr. Baumgardner selected Dr. James Rungee.

        Mr. Baumgardner saw Dr. Rungee several times but said his bedside manner “left
a lot to be desired.” He felt that Dr. Rungee was rushed and uninterested in discussing
his condition. He estimated Dr. Rungee spent about ten minutes with him at each visit.1

       After Dr. Rungee assigned permanent restrictions in April 2015, UPS asked Mr.
Baumgardner to go through their Americans with Disabilities Act process. He did so, but
UPS was unable to accommodate his restrictions. As a result, Mr. Baumgardner
requested his pension and retired from UPS, although he had intended to work at least ten
more years until he was sixty-seven. He has not worked anywhere since then. He has
not sought work anywhere else because he does not feel he is able to work in light of Dr.
Rungee’s restrictions.

                              Medical Records and Deposition Testimony

        Mr. Baumgardner first saw Dr. Rungee on December 8, 2014, for complaints of
aching pain in the lateral aspect of his left knee. Dr. Rungee noted very little effusion
and no medial tenderness. However, Mr. Baumgardner was “tender along the course of
the lateral collateral ligament and has pain with stress of that. He has a negative drawer
or Lachman. He can flex to 120 degrees and fully extend.” The MRI showed “some
edema in the lateral collateral ligament as well as over the lateral femoral condyle
consistent with a stress injury to that side. He is also noted to have a medial meniscus
tear.” Dr. Rungee diagnosed a lateral collateral ligament strain, lateral femoral condyle
contusion, and medial meniscus tear. He told Mr. Baumgardner that his lack of medial
symptoms “may suggest that his medial meniscus tear was preexistent to the injury.” He
also recommended a knee brace and additional physical therapy. Dr. Rungee noted a
brief discussion about an arthroscopy as the usual treatment for a medial meniscus tear,
but he “would not consider doing that unless this was symptomatic.”


1
    This testimony was echoed by Kathy McBroom, who attended all of his medical appointments.
                                                        2
       Dr. Rungee saw Mr. Baumgardner several times over the next few months. He
continued to provide conservative treatment, such as physical therapy and injections. He
also consistently observed no medial pain or tenderness. Following a functional capacity
evaluation (FCE), Mr. Baumgardner last saw Dr. Rungee on April 1, 2015. Dr. Rungee
noted no malalignment, no effusion, and 130 degrees of flexion. His impression was
“left knee strain with asymptomatic degenerative medial meniscus tear.” He reviewed
the FCE, placed Mr. Baumgardner in the medium physical demand category, and
recommended only occasional squatting and climbing. Dr. Rungee found that Mr.
Baumgardner had reached maximum medical improvement (MMI) and said he retained
no permanent impairment.

       Dr. Rungee testified that his final diagnosis was “left knee strain with
asymptomatic degenerative medial meniscus tear.”          He felt that, because Mr.
Baumgardner never had any medial symptoms, the medial meniscus tear must have pre-
existed the work accident. He noted that cysts such as the one on Mr. Baumgardner’s
MRI usually take time to form, which was indicative of a chronic injury rather than an
acute one. He also said the McMurray’s test, which checks for an unstable meniscus tear,
was negative. Dr. Rungee further explained that “most people that have a symptomatic
meniscus tear get remarkably better for a period of weeks” with an injection, and Mr.
Baumgardner got no relief from his.

        In addressing permanent impairment, Dr. Rungee testified there are two methods
of assigning impairment pursuant to the Sixth Edition of the American Medical
Association’s Guides to the Evaluation of Permanent Impairment (AMA Guides). One
method is a diagnosis-based impairment (DBI) rating. Applying the DBI, the only rating
applicable to Mr. Baumgardner would be a Class I rating for the meniscal tear, but Dr.
Rungee did not assign that rating because the tear was not related to the work injury.
Applying the other range-of-motion (ROM) methodology yielded no permanent
impairment either. This was because the lowest category of disability requires range of
motion of less than 110 degrees flexion. Because Mr. Baumgardner’s flexion never met
that threshold, Dr. Rungee felt he was not entitled to any loss of motion impairment.

       To counter Dr. Rungee’s opinion, Mr. Baumgardner went to Dr. Stephen Neely for
an independent medical evaluation (IME) on May 27, 2016. Dr. Neely’s report shows he
examined Mr. Baumgardner and reviewed his medical records. He noted tenderness at
the posteriomedial corner, tenderness over the lateral collateral ligament, and a trace
effusion. Other tests were negative and the left knee flexion was 115 degrees. Dr. Neely
concluded, “I think this gentleman did sustain injuries to the left knee in this accident in
trying to evade a dog during delivery.” Per the DBI of the AMA Guides, he assigned a
one percent whole-person impairment for the meniscal tear. However, “if we were to
use” ROM:


                                             3
             A mild impairment in flexion is noted in the edition as being 80
      degrees to 109 degrees and would be 10 percent to the lower extremity.
      [Mr. Baumgardner] falls just outside of that range in the range of 112 to
      114 degrees which still is considerably impaired as opposed to the [right
      knee.] If we just used a straight mathematical ratio this would give him 8
      percent to the involved lower extremity simply in the loss of flexion. . . . I
      think this amount of flexion is pertinent in that he is unable to squat. He
      needed to squat to be able to perform his job. This lack of flexion
      prevented him from returning to his full duty.

       In his deposition, Dr. Neely reiterated the findings in his report. When asked
whether he had “a diagnosis for Mr. Baumgardner as it relates to his November 2014
injury,” he testified, “I do not.” However, he did state that the primary finding was lack
of flexion, along with a small effusion and pain in the joint lines behind the lateral
collateral ligament, and that this finding was consistent with the work injury. His
rationale for assigning an impairment rating outside the AMA Guides was, with Mr.
Baumgardner’s loss of range of motion, “I think there is some impairment inherent in his
knee.”

        On cross-examination, Dr. Neely was asked to confirm that he did not have a
diagnosis for Mr. Baumgardner’s November 2014 injury. He responded: “I just assume
the MRI injury findings were secondary to his injury. That’s the way I rated him.”
Although he felt the pain on the posterior medial joint line was indicative of the medial
meniscal tear, he admitted that none of Dr. Rungee’s examinations resulted in any
findings consistent with an acute medial meniscal tear. He also stated he had no reason
to doubt Dr. Rungee’s conclusion that the meniscal tear pre-dated the work injury, and he
testified that degenerative tears are not uncommon in men of Mr. Baumgardner’s age. He
agreed that Dr. Rungee’s zero percent DBI rating would be correct if the meniscal tear
was not work-related.

       Dr. Neely also testified at length about his ROM impairment rating. He agreed
that the 130 degree of flexion observed by Dr. Rungee on the MMI date constituted a
normal range of motion. He also admitted that, under the applicable table in the AMA
Guides, none of Mr. Baumgardner’s flexion measurements, whether from Dr. Rungee,
Dr. Neely, or the FCE, would support any impairment rating. However, because the
measurements of 112 degrees from the FCE and the 115 degrees he measured were not
normal, he felt it appropriate to compare 115 degrees with a normal rating of 145, a
reduction of approximately twenty percent. Based on that difference, he reduced the
lowest ROM rating in the AMA Guides (ten percent) by the same percentage, which is
how he reached his eight percent rating.

      At the Compensation Hearing, Mr. Baumgardner asserted he is entitled to

                                            4
permanent total disability (PTD) benefits for his leg injury arising primarily out of and in
the course and scope of his employment. In the alternative, he contended he is entitled to
permanent partial disability (PPD) benefits. In support of these contentions, he relied on
the opinion of Dr. Neely and denied the validity of Dr. Rungee’s opinions for a variety of
reasons detailed below. He also argued that Dr. Rungee’s opinion is not entitled to a
presumption of correctness.

       UPS countered that Mr. Baumgardner is not entitled to PTD benefits because he
presented no proof that he is totally disabled from working. It argued further that Mr.
Baumgardner is not entitled to any disability benefits. It relied on Dr. Rungee’s opinion,
arguing that, as a panel physician, Dr. Rungee’s causation and impairment opinions are
presumed to be correct.

                       Findings of Fact and Conclusions of Law

       The following legal principles govern this case. Mr. Baumgardner has the burden
of proof on all essential elements of his claim. Scott v. Integrity Staffing Solutions, 2015
TN Wrk. Comp. App. Bd. LEXIS 24, at *6 (Aug. 18, 2015). “[A]t a compensation
hearing where the injured employee has arrived at a trial on the merits, the employee
must establish by a preponderance of the evidence that he or she is, in fact, entitled to the
requested benefits.” Willis v. All Staff, 2015 TN Wrk. Comp. App. Bd. LEXIS 42, at *18
(Nov. 9, 2015); see also Tenn. Code Ann. § 50-6-239(c)(6) (2016) (“[T]he employee
shall bear the burden of proving each and every element of the claim by a preponderance
of the evidence.”).

                           Compensability of the Meniscal Tear

       Mr. Baumgardner’s burden includes proving his injury arose primarily out of and
in the course and scope of the employment. Although UPS stipulated to the
compensability of the injury, they denied that the medial meniscus tear occurred at that
time. Thus, to meet this part of his burden, Mr. Baumgardner must show his torn medial
meniscus injury was “caused by a specific incident, or set of incidents, arising primarily
out of and in the course and scope of employment, and is identifiable by time and place
of occurrence.” Further, he must show, “to a reasonable degree of medical certainty that
it contributed more than fifty percent (50%) in causing the . . . disablement or need for
medical treatment, considering all causes.” Tenn. Code Ann. § 50-6-102(14) (2016).

       Before considering the medical opinions in this case, the Court must first address
the issue of whether Dr. Rungee’s opinion is entitled to a statutory presumption of
correctness. Tennessee Code Annotated section 50-6-102(14)(E) establishes a rebuttable
presumption of correctness for a causation opinion given by an authorized panel
physician. Mr. Baumgardner admitted selecting Dr. Rungee from a list of doctors but

                                             5
contended the panel was invalid. The Court agrees.

        Tennessee Code Annotated section 50-6-204(a)(3)(A)(i) provides:

                The injured employee shall accept the medical benefits afforded
        under this section; provided that in any case when the employee has
        suffered an injury and expressed a need for medical care, the employer shall
        designate a group of three (3) or more independent reputable physicians,
        surgeons, chiropractors or specialty practice groups if available in the
        injured employee’s community or, if not so available, in accordance with
        subdivision (a)(3)(B),2 from which the injured employee shall select one (1)
        to be the treating physician.

       Mr. Baumgardner lives in Murfreesboro, Tennessee. The list of orthopedic
specialists provided by UPS included one Murfreesboro doctor, Dr. Rungee. The other
specialists on the list practice in Winchester and McMinnville, which are each
approximately fifty miles from Murfreesboro. These options do not constitute a
physician practicing “in the injured employee’s community.” Because UPS presented no
evidence that an insufficient number of doctors was available in Murfreesboro or its
immediate vicinity, the Court holds that the list of physicians was insufficient to entitle
Dr. Rungee to the presumption of correctness established in section 50-6-102(14)(E).

       In the absence of a presumption favoring one doctor over the other, the Court
notes longstanding Tennessee case law, which provides:

               When the medical testimony differs, the trial judge must obviously
        choose which view to believe. In doing so, he is allowed, among other
        things, to consider the qualifications of the experts, the circumstances of
        their examination, the information available to them, and the evaluation of
        the importance of that information by other experts.

Orman v. Williams Sonoma, Inc., 803 S.W.2d 672, 676 (Tenn. 1991); see also Darraj v.
McKee Foods Corp., 2017 TN Wrk. Comp. App. Bd. LEXIS 4, at *13-14 (Jan. 17, 2017).

       Applying the first of these factors, the Court notes that both physicians are
experienced, board-certified orthopedic surgeons. A review of their respective curricula
vitae shows that each doctor has significant experience upon which to draw in their
evaluations. The Court finds that both doctors are well qualified and the differences in
their qualifications are not determinative.


2
 Subsection (a)(3)(B) provides an alternate procedure if three or more independent reputable physicians, surgeons,
chiropractors or specialty practice groups are not available in the injured employee’s community.
                                                        6
       Similarly, the other listed factors favor neither doctor.         Regarding the
circumstances of the evaluation, there is no question that Dr. Neely performed a careful
and thorough examination.        While Mr. Baumgardner questioned Dr. Rungee’s
thoroughness, the medical records show he had the opportunity to observe Mr.
Baumgardner’s knee several times over the course of four months, beginning less than a
month after the injury. Further, his office notes document a quantity of tests and
carefully relate Mr. Baumgardner’s symptoms during that period. As Dr. Neely testified
he reviewed Dr. Rungee’s records, the information available to the doctors appears to be
nearly identical.

       The Court must therefore focus on the doctors’ reasoning and their explanation of
their conclusions. Dr. Rungee consistently stated in his treatment notes that Mr.
Baumgardner exhibited no medial pain or other symptoms. He explained, both to Mr.
Baumgardner during his treatment and in his report and deposition, that he felt this was
evidence that the tear pre-existed the work injury. He noted that the McMurray test was
negative and that the injection provided no relief. Dr. Rungee further explained that the
cyst shown on the MRI provided additional evidence of a chronic tear, rather than a
recent acute event.

        In reviewing Dr. Neely’s testimony, it is not entirely clear whether he ever
actually offered an opinion on the cause of the meniscus tear, much less an opinion that
the work injury was the primary cause. Although he said Mr. Baumgardner “did sustain
injuries to the left knee in this accident,” he did not specify whether those injuries
included the meniscal tear. Further, he testified that he did not actually have a diagnosis
but just assumed the MRI findings were secondary to the work injury. Notably, Dr.
Neely did not dispute Dr. Rungee’s conclusion, admitted that he had no reason to doubt
it, and acknowledged that none of Dr. Rungee’s examinations indicated an acute medial
meniscal tear.

       Mr. Baumgardner contended that Dr. Rungee’s conclusions were unreliable
because the doctor ignored his history of no prior left knee injuries. He argued that this
constituted a failure to abide by the “Clinical Evaluation” section of the Guides’
instructions for preparing reports, found on page twenty-eight of the Guides.
Specifically, Mr. Baumgardner insisted Dr. Rungee failed to discuss any medical history
inconsistencies with him during the examination, as required by the Guides before
preparing his final report. The Court finds this argument unpersuasive.

       First, the Guides actually require the doctor to clarify and reconcile any
inconsistencies between the “history provided by the patient and the history contained in
the medical records.” Mr. Baumgardner identified no inconsistencies between the history
he gave Dr. Rungee and his medical records that needed to be reconciled. This is
unsurprising, since Dr. Rungee, as the treating physician, was the source of most of the

                                            7
medical records. Instead, Mr. Baumgardner identified the inconsistency as the fact that
he had no “history of a pre-existing condition.” The mere fact that he had no such history
is not inconsistent with the fact that Dr. Rungee appears to have been the first to diagnose
the meniscus tear as pre-existing. Further, to the extent Mr. Baumgardner appears to
contend that Dr. Rungee ignored or did not believe his history of no prior left-knee
injuries, Dr. Rungee’s records do not support such an assertion. His first office note and
his final report both reflect Mr. Baumgardner’s denial of any previous injury. The Court
is unable to infer that Dr. Rungee ignored or disbelieved Mr. Baumgardner’s history of
no prior injury simply because he concluded that the meniscus tear was degenerative.

      After careful consideration of the factors set out in Orman, as well as the doctors’
explanation of their conclusions, the Court finds Dr. Rungee’s causation opinion to be
more persuasive than that of Dr. Neely. As a result, Mr. Baumgardner has not met his
burden of proving by a preponderance of the evidence that his medial meniscus tear arose
primarily out of and in the course and scope of his employment with UPS.

                              Permanent Disability Benefits

      Mr. Baumgardner seeks PTD benefits. Tennessee Code Annotated section 50-6-
207(4)(B) provides: “When an injury not otherwise specifically provided for in this
chapter totally incapacitates the employee from working at an occupation that brings the
employee an income, the employee shall be considered totally disabled[.]” The
assessment of permanent total disability is based upon numerous factors, including the
employee’s skills and training, education, age, local job opportunities, and the capacity to
work at the kinds of employment available in the disabled condition. Roberson v. Loretto
Casket Co., 722 S.W.2d 380, 384 (Tenn. 1986); McIlvain v. Russell Stover Candies, Inc.,
996 S.W.2d 179, 183 (Tenn. 1999).

       Mr. Baumgardner presented no expert vocational proof, although he did testify as
to his work history, age, and education. He also indicated his belief that he was unable to
work at any job because of Dr. Rungee’s permanent restrictions. However, he presented
no evidence of local job opportunities and, other than his own opinion, no evidence of his
capacity to work at the kinds of employment available in his disabled condition. Further,
the only disabling condition identified by Mr. Baumgardner was his left knee. Although
UPS had no work for him within his restrictions, the evidence presented is insufficient for
the Court to conclude Mr. Baumgardner is incapable of working at any occupation that
would bring him an income.

       In the alternative to a finding of total disability, Mr. Baumgardner seeks PPD
benefits. PPD benefits are owed when an employee sustains a permanent impairment
from a work injury but is still able to work. See Tenn. Code Ann. § 506-207(3)(A)
(2017).

                                             8
        There are several medical impairment ratings to consider – Dr. Rungee’s zero
percent ratings and Dr. Neely’s ratings of one percent under the DBI method and eight
percent under the ROM method. Starting with Dr. Neely’s DBI rating, the Court notes
that he based this solely on the diagnosis of Mr. Baumgardner’s medial meniscus tear.
As the Court has already found that Mr. Baumgardner has not proven the compensability
of this tear, the accompanying DBI rating is inapplicable to any determination of PPD.

       Regarding Dr. Neely’s ROM rating, the Court notes the Guides state on page 497
that DBI is the primary method for evaluation of leg injuries and that ROM should only
be used “to determine actual impairment values when it is not possible to otherwise
define impairment.” Dr. Neely did not provide an explanation to show why it was not
possible to define impairment in Mr. Baumgardner’s case. Rather, it appears he simply
used ROM because he felt Mr. Baumgardner’s condition merited more impairment than
that provided under the DBI method. The Court finds the evidence presented on this
issue to be insufficient to justify an award of PPD benefits based on Mr. Baumgardner’s
range-of-motion.

      Even if a ROM evaluation were merited in this case, both Dr. Rungee and Dr.
Neely agreed that Mr. Baumgardner did not qualify for any permanent impairment under
the ROM section of AMA Guides. Dr. Neely, however, felt that some degree of
impairment was appropriate because Mr. Baumgardner’s range-of-motion was not
normal, even if it did not meet the Guides’ threshold.

        The Court is sympathetic to Dr. Neely’s concerns, but Tennessee Code Annotated
section 50-6-204(d)(B) provides that: “No anatomical impairment or impairment rating . .
. shall be . . . admissible into evidence at the trial of a workers’ compensation matter
unless the impairment is based on the applicable edition of the AMA Guides or, in cases
not covered by the AMA Guides, an impairment rating by any appropriate method used
and accepted by the medical community.” Thus, the only exception provided by the
statute is a case “not covered by the AMA Guides,” and Mr. Baumgardner’s case, a knee
injury, is covered by the AMA Guides. Further, even if Mr. Baumgardner’s leg injury
were not covered, he presented no evidence that Dr. Neely’s approach was an
“appropriate method used and accepted by the medical community.” For these reasons,
the Court cannot accept Dr. Neely’s rating.

       Mr. Baumgardner pointed out that, regardless of any permanent impairment rating,
he has significant permanent restrictions as a result of his work accident that have
severely limited his employment opportunities. He argued that impairment is only one
element of vocational disability and an employee with no rating but narrow restrictions
may still qualify for PPD benefits. The Court recognizes the apparent conflict between a
zero rating and permanent lifting restrictions, as well as the likelihood of vocational

                                           9
disability caused by those restrictions, but finds no statutory authority for awarding (or a
method for calculating) PPD benefits without a medical impairment rating. The cases
cited by Mr. Baumgardner were decisions under prior law, which was fundamentally
different from the current statute that provides partial disability “shall be determined by
multiplying the employee’s impairment rating by four hundred fifty (450) weeks.”
(Emphasis added.)

       Based on the foregoing, and in the absence of any credible medical impairment
rating, the Court cannot find Mr. Baumgardner has met his burden of establishing
entitlement to PPD benefits.

                                      Medical Benefits

        Under the Workers’ Compensation Law, “the employer or the employer’s agent
shall furnish, free of charge to the employee, such medical and surgical treatment . . .
made reasonably necessary by accident[.]” Tenn. Code Ann. § 50-6-204(a)(1)(A).
Employers are also required to offer a panel of 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). As noted above, the panel from which Mr. Baumgardner selected Dr.
Rungee was technically invalid. As a result, Mr. Baumgardner contends he is entitled to
a new panel. UPS acknowledges Mr. Baumgardner’s right to continuing medical
treatment but insists this should be provided by Dr. Rungee.

       Mr. Baumgardner’s request raises the following question – is an employee entitled
to a new panel when an employer’s panel is flawed, but the employee acquiesced to
treatment with the selected physician? Mr. Baumgardner provided no case authority
addressing this exact issue, and the Court has identified none. In the absence of any
controlling authority, the Court must look to the statute itself. In Petty v. Convention
Production Rigging, Inc., 2016 TN Wrk. Comp. App. Bd. LEXIS 95, at *20 (Dec. 29,
2016), the Appeals Board wrote:

               [o]ur role in construing a statute is to ascertain and give effect to the
       legislative intent without unduly restricting or expanding a statute’s
       coverage beyond its intended scope. To do so, we focus initially on the
       statute’s words, giving these words their natural and ordinary meaning in
       light of their statutory context. We must avoid any forced or subtle
       construction that would limit or extend the meaning of the language. Every
       word in a statute is presumed to have meaning and purpose, and the statute
       must be construed in its entirety.

       Applying this approach, the Court notes that section 50-6-204(a)(3)(A)(i) requires
that an employer “shall designate a group of three (3) or more independent reputable

                                              10
physicians . . . if available in the injured employee’s community.” Because UPS failed to
do this, the Court is compelled to order it to comply with the statute and provide a valid
panel of orthopedic specialists. The Court has reservations about the necessity of a new
panel in a case where Mr. Baumgardner acquiesced to treatment for several months,
made no request to return to his authorized doctor for two years, made no objection to his
treatment or requested another doctor during that time, or sought treatment on his own
with another physician. However, the Court declines to infer a time limitation on UPS’
statutory duty to provide a panel, as such a construction of the statute is the province of
the appellate courts.

 IT IS, THEREFORE, ORDERED as follows:

   1. UPS shall continue to provide Mr. Baumgardner with medical treatment made
      reasonably necessary by the November 11, 2014 injury and in accordance with
      Tennessee Code Annotated section 50-6-204 (2016), to be initiated by providing
      Mr. Baumgardner with a panel of orthopedic specialists.

   2. Mr. Baumgardner’s claim against UPS and its workers’ compensation carrier for
      the requested permanent disability benefits is denied.

   3. Costs of this cause of $150.00 are assessed against UPS pursuant to Tennessee
      Compilation Rules and Regulations 0800-02-21-.07, to be paid within five days of
      this Order becoming final.

   4. UPS shall prepare and file a statistical data form within ten business days of the
      date of this Order, pursuant to Tennessee Code Annotated section 50-6-244.

   5. After a Compensation Hearing Order entered by a Workers’ Compensation Judge
      becomes final in accordance with Tennessee Code Annotated section 50-6-
      239(c)(7), compliance with this Order must occur in accordance with Tennessee
      Code Annotated section 50-6-239(c)(9). The Insurer or Self-Insured Employer
      must submit confirmation of compliance with this Order to the Bureau by email to
      WCCompliance.Program@tn.gov no later than the fifth business day after this
      Order becomes final or all appeals are exhausted. Failure to submit the necessary
      confirmation within the period of compliance may result in a penalty assessment
      for non-compliance.

      ENTERED this the 28th day of June, 2017.

                                   _____________________________________
                                         Dale Tipps
                                         Workers’ Compensation Judge

                                            11
                                       APPENDIX

Exhibits:

   1.   Transcript of Dr. James Rungee’s deposition
   2.   Transcript of Dr. Stephen Neely’s deposition
   3.   Indexed medical records submitted by Mr. Baumgardner
   4.   Indexed medical records submitted by UPS
   5.   Joint indexed exhibits
   6.   Form C-42 Choice of Physician form

Technical Record:

   1.   Petition for Benefit Determination
   2.   Post-Discovery Dispute Certification Notice
   3.   Parties’ Exhibit and Witness Lists
   4.   Pre-Compensation Hearing Statements
   5.   Parties’ Pre-Hearing Briefs

The Court did not consider attachments to Technical Record filings unless admitted into
evidence during the Compensation Hearing. The Court considered factual statements in
these filings or any attachments to them as allegations unless established by the evidence.


                            CERTIFICATE OF SERVICE

       I hereby certify that a true and correct copy of the Compensation Hearing Order
was sent to the following recipients by the following methods of service on this the 28th
day of June, 2017.

 Name                      Certified    Via         Via Service sent to:
                            Mail        Fax        Email
 Jason Denton,                                       X   jdenton@rma-law.com
 Employee’s Attorney
 David Hooper                                       X    dhooper@hooperzinn.com
 Employer’s Attorney


                                          ______________________________________
                                            PENNY SHRUM, COURT CLERK
                                                 wc.courtclerk@tn.gov


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