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TEXAS DEPARTMENT OF INSURANCE: Health care provider sentenced for workers’ compensation fraud

By Press release submission | Jul 16, 2018


Texas Department of Insurance issued the following announcement on July 09.

A Deer Park health care worker has been sentenced for falsifying workers’ compensation claims.

A Travis County District Court sentenced Enrique Colon to three years deferred adjudication and ordered him to pay $10,000 in restitution.

Colon performed functional capacity evaluations -- medical exams that determine if an injured employee is physically able to perform their job duties after a work-related injury or illness. He submitted false medical claims to an insurer for more time than the services actually took to perform.

Colon was indicted along with EME International, Inc. and two others on charges of engaging in organized criminal activity for overbilling for the exams.

“Addressing fraud is vital to the health and success of the workers’ comp system here in Texas,” said Cassie Brown, Commissioner of Workers’ Compensation. “The division is committed to protecting injured employees and policyholders from these schemes.”

The case was prosecuted by the Texas Department of Insurance, Division of Workers’ Compensation’s prosecution unit embedded in the Travis County District Attorney’s Office.

Original source can be found here.

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Texas Department of Insurance