Results
Arbitration Victory Secured in Excessive Testing Case
We successfully defended an insurance carrier in a New Jersey no-fault arbitration matter. The claimant, a pain management provider, filed an arbitration demand in the amount of $125,218 in connection with a baseline urine toxicology screen and subsequent presumptive and confirmatory testing performed on a monthly basis to monitor a patient’s medication regimen. We successfully argued that the extensive testing was being performed without regard to the needs of the patient. After arguments were heard, the arbitrator issued an award in favor of our client, finding that the excessive testing was not medically necessary, saving our client more than $100,000.
Summary Judgment for Spa in Wrongful Death Case Involving Whirlpool.
We obtained summary judgment in a wrongful death case arising from an alleged drowning in a whirlpool at a spa. The decedent, a 73-year-old woman, was found unresponsive by a lifeguard in the client’s whirlpool. There was no evidence as to how long the decedent had been submerged in the hot tub before she was found. The Medical Examiner conducted an autopsy and listed the decedent’s primary cause of death as hypertensive and arteriosclerotic cardiovascular disease, with cardiomegaly. Drowning was listed as a significant contributing factor. The plaintiff argued that our client was negligent by positioning the lifeguard in such a manner that the lifeguard would not have a direct line of sight to the bottom of the whirlpool from the lifeguard station, and that, had the plaintiff been discovered earlier, she could have been resuscitated. The defense produced an expert liability report stating that the client was in compliance with all applicable codes and standards. The defense also presented an expert medical report from a cardiologist who opined that the plaintiff suffered sudden cardiac death and could not have been resuscitated. Plaintiff’s counsel relied upon the Medical Examiner’s conclusions to prove medical causation and did not serve a liability report. Without reaching the issue of liability, the court found that the plaintiff did not meet the burden of proof on medical causation. The plaintiff could not simply rely upon the Medical Examiner’s conclusions as to the cause of death as he is not an expert in cardiology.
