Texas Issues More than $16K in Fines to Work Comp Participants

Texas regulators have issued fines of more than $16,000 to workers’ compensation health care providers and other stakeholders. Final disciplinary actions taken by the Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) relate to violations of the state labor code and workers’ compensation rules.

Texas DWC Final Disciplinary Orders for April 2011

Dodge, William David M.D. of Dallas
Order Number: DWC11-0046
Date of Order: 4/12/2011
Order Final In: April
Action Taken: Fined $4,000; Must attend compliance training for doctors and medical office staff
Violation: Failed to timely file and/or accurately complete TDI-DWC forms, reports or records

Downey, Sara D.C. of Grand Prairie
Order Number: DWC-11-0047
Date of Order: 4/25/2011
Order Final In: April
Action Taken: Take an AADEP-sponsored medical examination and submit score to Division; Designated Doctor examinations will be monitored provided by AADEP; Must submit Designated Doctor examinations for review
Violation: Failed to provide an explanation for the date of Maximum Medical Improvement (MMI); Failed to assign an impairment rating in accordance with applicable guidelines

East Texas Educational Insurance Assoc. of Tyler
Order Number: DWC11-0049
Date of Order: 4/25/2011
Order Final In: April
Action Taken: Fined $7,000
Violation: Failed to comply with an order or decision of the Commissioner

Rose, James Keith M.D. of Corpus Christi
Order Number: DWC11-0045
Date of Order: 4/12/2011
Order Final In: April
Action Taken: Fined $1,000; Must attend compliance training for doctors and medical staff
Violation: Failed to timely file and/or accurately complete TDI-DWC forms, reports or records

Southwest General Emergency Physicians PLLC of Hollywood, Fla.
Order Number: DWC11-0048
Date of Order: 4/25/2011
Order Final In: April
Action Taken: Fined $1,000
Violation: Improperly billed an injured employee for workers’ compensation medical services provided

Tarrant County College District of Fort Worth
Order Number: DWC11-0050
Date of Order: 4/25/2011
Order Final In: April
Action Taken: Fined $3,500
Violation: Reported inaccurate billing data to Division

Source: TDI-DWC