The Worker’s Compensation Act’s handling of the statute of limitations can be a perplexing area. This is especially true when there is a medical service provider seeking payment from an employer for an outstanding bill. The Court of Appeal just recently addressed this issue.
In Indiana Spine Group, PC v. Pilot Travel Centers, LLC , on August 2003, Anthony Wetnight sustained a work-related injury while working for Pilot Travel Centers, LLC (“Pilot”). Indiana Spine Group (“ISG”) provides medical services to employees who are injured during the course of their employment. Pilot authorized Mr. Wetnight to receive two medical treatment services from ISG in 2004. ISG sent Pilot a bill for the two services totaling $38,556.00. Pilot made four partial payments to ISG, the last partial payment on June 2008, leaving an unpaid balance of $21,750.96. On June 2009, ISG filed an Application for Adjustment of claim for Provider’s fee (“Application”) with the Worker’s Compensation Board (“Board”) for the purpose to recover the remaining balance on the bill. The Board dismissed ISG’s Application due to the fact that the Application was filed outside the two year statute of limitation set forth in Indiana Code § 22-3-3-27. The Court of Appeals reversed the Board's decision, stating that Indiana Code § 22-3-3-27 and Indiana Code § 22-3-3-3 of the Worker’s Compensation Act did not apply to ISG’s Application.
On appeal, Pilot argued that the term “compensation” in Indiana Code § 22-3-3-3 included medical services, which encapsulated what ISG provided. The Court of Appeals disagreed and determined that the plain meaning of the word “compensation” referred to “employee benefits, not payment to health care providers.” The Court of Appeals then evaluated the plain language of Indiana Code § 22-3-3-27. The Court stated that “this section establishes a two-year statute of limitation for ‘modification’ of an award due to a ‘change in conditions’.” In this situation there was never a change of conditions, which required a modification of the award of worker’s compensation benefits, which made the previous statute inapplicable. The Court determined that the appropriate statute to apply was Indiana Code § 34-11-1-2, which provided “[a] cause of action that . . . is not limited by any other statute[,] must be brought within ten (10) years.” The Court reasoned that “the legislature enacted the general statutes of limitation for the very purpose of supplying a statute of limitation when one has not otherwise been provided by a more specific statutory scheme”; therefore, ISG timely filed its Application before the Board.

A deal is a deal, right? That is not always true when the deal is a fee agreement between a lawyer and a client. With interest in alternative fee arrangements growing among lawyers and clients, Indiana law firms should keep in mind that their fee agreements remain subject to scrutiny of the Indiana Supreme Court.