July 17, 2012
Division of Workers' Compensation Announces Recent Enforcement Actions
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. Violations cited in orders naming insurers included failure to timely pay a medical bill and failure to timely pay income benefits to an injured employee. Violations cited in orders naming health care providers included failure to timely file and/or accurately complete TDI-DWC forms, reports or records.
Summaries of disciplinary actions are available on the TDI website at: https://wwwapps.tdi.state.tx.us/inter/asproot/commish/da/dwcclips2012.asp .
Copies of Commissioner of Workers' Compensation orders also 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.
Corrections and updates to two prior order summaries:
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: September
Action Taken: Fined $18,000
Violation: (SOAH issued a Decision and Order in 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. The order was appealed to District Court and reversed and remanded back to SOAH.
McWatt, Gordon G., D.O. of Fort Worth
Order Number: DWC-120020
Date of Order: 2/1/2012
Order Final In: February
Action Taken: Must attend workers' compensation health provider training
Violation: (SOAH issued a Proposal for Decision and Decision in Docket No. 454-09-5313.C1; the Commissioner issued an Official Order) Failed to maintain required documentation; Failed to timely file and/or accurately complete TDI-DWC forms, reports or records. Both Orders were appealed and are pending in district court.
For more information contact:
Last updated: 07/17/2012