06 July, 2026
In: Verdicts
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July 6, 2026
FORT LAUDERDALE – Sal Richardson, Managing Partner of Workers' Compensation in Fort Lauderdale, secured a significant defense victory at a Final Hearing, successfully defeating claims for post-surgical attendant care. The case involved a complex legacy claim from 1990 and a $63,000 dispute over supplemental benefits. Despite these procedural complexities, the defense successfully shielded the client from new medical liabilities by proving the requested care was not medically necessary and lacked a valid physician recommendation.
The matter traces back to October 1990, when the claimant, a carpenter, sustained a work-related injury to her lower back. Decades into the life of the claim, a dispute arose regarding the recoupment of $63,780.45 in supplemental benefits that had continued past the claimant’s 62nd birthday. Additionally, following a 2023 surgery for an intrathecal opioid pump, the claimant sought authorization for attendant care provided by her sister, supported by testimony from both an authorized treating physician and an expert physician.
The claimant’s counsel sought the reinstatement of PTD benefits without the 20% statutory offset, arguing that the Employer/Carrier (E/C) incorrectly asserted a right to recoup the overpayment because the claimant had not actively misled the Carrier. In addition to the back-payment of these benefits, the claimant sought accrued interest, penalties, and attorney’s fees. Furthermore, the claimant sought authorization for seven to ten days of attendant care, asserting it was a medical necessity following her surgical procedure.
Opposing counsel relied on the opinions of medical experts who testified that the care was causally related to the 1990 accident and essential for the claimant's recovery.
The defense strategy focused on exposing the procedural and medical inconsistencies behind the attendant care request. Mr. Richardson centered the defense on the strict statutory requirements for attendant care, which demand specific information regarding the level, time, and type of assistance required. The claimant failed to provide these necessary details.
A critical component of the strategy involved investigating the origin of the medical recommendation. The defense presented evidence that the initial request did not originate from the physician, but was instead drafted by office staff at the claimant's prompting. During cross-examination, the defense elicited testimony from the physician admitting that he does not typically recommend attendant care for such procedures. This effectively dismantled the claimant’s argument for medical necessity.
Ultimately, upon learning of the detailed information needed from the physician’s office to institute attendant care, the “recommendation” was withdrawn by the office person who wrote it on the claimant’s behalf.
The court's decision reflected a strong alignment with the defense's tactical approach. While the judge addressed the indemnity recoupment, the defense was entirely successful in the denial of all attendant care benefits. By revealing the lack of medical necessity and the physician's standard protocols, the defense prevented the institution of new, open-ended medical costs.
A unique scenario in this litigation involved the application of pre-1993 statutes, which allow for broader admissibility of physician opinions regardless of authorized status. Despite this lower bar for evidence, the defense successfully used the procedural requirements of Florida law to overcome the opinions of the claimant’s outside experts.
This win serves as a powerful reminder of the duality of Workers' Compensation hearings, where specialized expertise can neutralize specific high-exposure claims even in complex legacy cases. The Fort Lauderdale team demonstrated that even when faced with favorable expert testimony for a claimant, a comprehensive analysis into medical protocols and staff involvement can expose the underlying facts for the court. This victory reinforces QPWB’s reputation for finding reliable solutions to the unique challenges presented by long-term litigation.
Quintairos, Prieto, Wood & Boyer, P.A. is one of the fastest growing law firms in the United States providing a different focus on what it means to provide responsive service to clients and team members. With a national presence of 59 offices and a comprehensive scope of over 130 practice areas, QPWB delivers legal representation in litigation, regulatory, and corporate matters to a diverse range of industries. This scope and rapid expansion has attracted unique legal talent from all different backgrounds and experiences which has made them the largest minority-owned law firm in the country.