AUSTIN – 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.
Copies of Commissioner of Workers’ Compensation orders may be obtained by calling Maria Jimenez, TDI-DWC Enforcement, at 512-804-4703 or via e-mail to Maria.Jimenez@tdi.state.tx.us.
DIVISION OF WORKERS’ COMPENSATION
FINAL DISCIPLINARY ORDERS FOR AUGUST 2011 (alphabetical order)
Cherokee Insurance Company of Warren, MI
Order Number: DWC-11-0078
Date of Order: 8/18/2011
Order Final In: August
Action Taken: Fined $14,000
Violation: Failed to timely pay income benefits to injured employee; Failed to accurately submit medical bill and payment data to TDI-DWC
City of Houston of Houston
Order Number: DWC-11-0077
Date of Order: 8/18/2011
Order Final In: August
Action Taken: Fined $5,000
Violation: Failed to timely pay income benefits to injured employee; Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange
Gray Insurance Company of Metairie, LA
Order Number: DWC-11-0075
Date of Order: 8/5/2011
Order Final In: August
Action Taken: Fined $5,000; Must provide compliance plan for timely processing of medical bills
Violation: Failed to accurately submit medical bill and payment data to TDI-DWC; Failed to timely pay income benefits to injured employee
Texas Political Subdivisions Joint Self Insurance Funds of Dallas
Order Number: DWC-11-0076
Date of Order: 8/8/2011
Order Final In: August
Action Taken: Fined $2,500
Violation: Failed to timely pay income benefits to injured employee; Failed to comply with order or decision of Commissioner or TDI-DWC
Vista Hospital of Dallas, LLP, and Vista Community Medical Center, LLP of Dallas
Order Number: DWC-11-0082
Date of Order: 9/15/2011
Order Final In: August
Action Taken: Fined $18,000
Violation: (SOAH Docket No. 454-10-6056) Submitted charges for services not furnished; Violated TDI-DWC fee and treatment guidelines; Failed to comply with requirements for medical billing; Failed to comply with a Commissioner rule
Source: TDI-DWC