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You are here: Home . news . 2015 . tdi30415

March 04, 2015

Division of Workers’ Compensation Announces Recent Enforcement Actions

AUSTIN - Commissioner of Workers’ Compensation, Ryan Brannan, recently announced final disciplinary actions taken by the Division of Workers’ Compensation (DWC).

The final actions include administrative penalties ordered against insurance carriers, health care providers and other entities in the workers’ compensation system. Beginning January 1, 2015, through February 28, 2015, the Commissioner of Workers’ Compensation has ordered administrative penalties totaling $424,900 for system participants. The penalties include $386,700 in fines ordered for insurance carriers, $18,200 in fines ordered for health care providers, and $20,000 in fines ordered for other entities.

Violations of the Texas Labor Code by insurance carriers cited in recent orders include failure to timely initiate and pay benefits to an injured employee, failure to accurately calculate benefits owed to an injured employee, failure to timely notify TDI-DWC of action taken on a claim, and failure to timely and accurately submit medical data. Violations cited in orders naming health care providers include failure to follow proper medical treatment guidelines, administering unreasonable or medically unnecessary treatment or services, and failure to timely file and/or accurately complete DWC forms, reports or records. Violations cited in orders naming other entities include issuing medical necessity denials without allowing health care providers a reasonable opportunity to discuss them with a medical doctor.

Summaries of disciplinary actions are available on the TDI website at: https://wwwapps.tdi.state.tx.us/inter/asproot/commish/da/dwcclips2015.asp.

Specific order summaries also can be viewed by searching by the subject of the order here:
http://www.tdi.texas.gov/commissioner/actions.html.

Copies of Commissioner of Workers' Compensation orders also may be obtained by calling Maria Jimenez, DWC Enforcement, at 512-804-4703 or via e-mail to Maria.Jimenez@tdi.texas.gov.



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Last updated: 02/06/2017

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