December 15, 2017

TX Division of Workers’ Compensation Announces Recent Enforcement Actions

Austin, TX – Commissioner of Workers’ Compensation Rod Bordelon recently announced final disciplinary actions taken by the Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC).

The final actions include orders related to violations of the Texas Labor Code and rules promulgated by the Commissioner of Workers’ Compensation. Violations cited in orders naming insurers included failure to timely pay a medical bill, failure to timely pay income benefits to an injured employee, and retrospectively reviewing the medical necessity of a preauthorized medical service or treatment. Violations cited in orders naming health care providers included failure to timely file and/or accurately complete TDI-DWC forms, reports or records.

Buttons L.L.C. of Fort Worth
Order Number: DWC-2494
Date of Order: 5/7/2013
Order Final In: May
Action Taken: Fined $1,000
Violation: Failed to timely comply with a TDI-DWC order

Castlepoint National Insurance Company of New York, NY
Order Number: DWC-2492
Date of Order: 5/7/2013
Order Final In: May
Action Taken: Fined $1,000
Violation: Failed to provide on-site visit or other appropriate service for policyholders

Corley, Ronald G., M.D. of Kyle
Order Number: DWC-2513
Date of Order: 5/10/2013
Order Final In: May
Action Taken: Must attend designated doctor training; Medical practice in workers’ compensation system subject to medical quality review; Must pay costs of review
Violation: Failed to adequately document designated doctor examinations; Failed to timely file and/or accurately complete TDI-DWC forms, reports or records

Federal Insurance Company of Warren, NJ
Order Number: DWC-2512
Date of Order: 5/10/2013
Order Final In: May
Action Taken: Fined $6,000
Violation: Failed to timely comply with a TDI-DWC order

Liberty Insurance Corporation of Boston, MA
Order Number: DWC-2532
Date of Order: 5/21/2013
Order Final In: May
Action Taken: Fined $3,800
Violation: Failed to timely pay income benefits to injured employee

Meadowmere Emergency Physicians of Philadelphia
Order Number: DWC-2495
Date of Order: 5/7/2013
Order Final In: May
Action Taken: Fined $2,500
Violation: Improperly billed an injured employee for workers’ compensation medical services provided

Quest Diagnostics Inc. of Norristown, PA
Order Number: DWC-2514
Date of Order: 5/10/2013
Order Final In: May
Action Taken: Fined $4,000
Violation: Improperly billed an injured employee for workers’ compensation medical services provided

St. David’s Medical Center Austin of Austin
Order Number: DWC-2482
Date of Order: 5/3/2013
Order Final In: May
Action Taken: Fined $2,500
Violation: Improperly billed an injured employee for workers’ compensation services provided

Texas Municipal League Intergovernmental Risk Pool of Austin
Order Number: DWC-2496
Date of Order: 5/7/2013
Order Final In: May
Action Taken: Fined $15,000
Violation: Failed to accurately submit medical bill and payment data

Weiser Security Services, Inc. of New Orleans, LA
Order Number: DWC-2493
Date of Order: 5/7/2013
Order Final In: May
Action Taken: Fined $2,500
Violation: Failed to file wage statement with injured employee

Source: TDI-DWC

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