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.
AMA Regal, Inc. of Londonderry, NJ
Order Number: DWC-2380
Date of Order: 3/15/2013
Order Final In: March
Action Taken: Fined $500
Violation: Failed to comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status
American Home Assurance Company of New York, NY
Order Number: DWC-2387
Date of Order: 3/22/2013
Order Final In: March
Action Taken: Fined $5,500
Violation: Failed to timely pay medical bill; Failed to timely comply with a benefit dispute agreement
Arrowhead Hospital of Glendale, AZ
Order Number: DWC-2390
Date of Order: 3/22/2013
Order Final In: March
Action Taken: Fined $2,000
Violation: Improperly billed an injured employee for workers’ compensation medical services provided
Greater San Antonio Emergency Physicians of San Antonio
Order Number: DWC-2386
Date of Order: 3/22/2013
Order Final In: March
Action Taken: Fined $2,000
Violation: Improperly billed an injured employee for workers’ compensation medical services provided
Liberty Mutual Fire Insurance Company of Boston, MA
Order Number: DWC-2389
Date of Order: 3/22/2013
Order Final In: March
Action Taken: Fined $7,000
Violation: Failed to timely pay income benefits to injured employee
Renaissance SNF, L.L.C. of Dallas
Order Number: DWC-2379
Date of Order: 3/15/2013
Order Final In: March
Action Taken: Fined $1,500
Violation: Failed to comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status
Standard Fire Insurance Company of Hartford, CT
Order Number: DWC-2388
Date of Order: 3/22/2013
Order Final In: March
Action Taken: $5,000
Violation: Failed to timely pay income benefits to injured employee
TSC Staffing Solutions, Inc. of Bedford
Order Number: DWC-2391
Date of Order: 3/22/2013
Order Final In: March
Action Taken: Fined $1,500
Violation: Failed to comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status
Wolinsky, Joel Scott M.D. of Sugar Land
Order Number: DWC-2378
Date of Order: 3/15/2013
Order Final In: March
Action Taken: Fined $5,000
Violation: Failed or refused to reply to TDI-DWC order to produce documents
Source: TDI-DWC