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Texas State Board of
Podiatric Medical Examiners

Physical Address: 333 Guadalupe, Suite #2-320; Austin, Texas 78701
Mailing Address: P.O. Box 12216; Austin, Texas 78711
Phone: (512)-305-7000
Facsimile: (512)-305-7003
www.tsbpme.texas.gov

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Filing a Complaint

► Complainants needing assistance with executing any part or the entirety of the Complaint Form, including any difficulty with the Notary section should that be an impediment, are encouraged to contact Board staff (512-305-7000) to discuss your need/circumstance.

  1. Click here to Print Complaint Form and a Medical Records Release Form; to be mailed to the following address:
    Texas State Board of Podiatric Medical Examiners
    Investigations Division
    P.O. Box 12216
    Austin, TX 78711-2216
  2. Please visit the Board's License Verifications Webpage to obtain License No./Address/Phone information of the respondent Podiatrist to assist you in completing your complaint submission.
  3. Please visit the Board's Disciplinary Actions Webpage to obtain an alphabetical listing of all Podiatrists who have been disciplined; to include the ability to view/print all Board Orders.
  4. From outside Austin, call our Nationwide Toll Free Hotline at 1-800-821-3205 to request a copy of the Complaint Form & Medical Records Release.
  5. Main line: 512-305-7000. Call this number to discuss your complaint with agency staff.
  6. Primary Fax: 512-305-7003. Secondary Fax: 512-305-7165.
  7. The Board's Statutes/Rules (jurisdictional information) can be found HERE.
  8. Click here to: Learn more about the Complaint Process.
  9. Please be advised that the filing of a complaint and/or the pendency of an investigation does not preclude a patient from continuing to receive/obtain medical care from the appropriate provider for the purposes of continuity of care. Continuing to obtain medical care is the patient's personal responsibility and again, is not precluded during the complaint process.

To further assist the complainant, some complaints should be directly addressed by the appropriate and proper jurisdictional authority; those scenarios are as follows:

"Medicare & Medicaid - Fraud" Complaints. Complaints related to Medicare & Medicaid issues, to include fee disputes and allegations of healthcare fraud (i.e. Fraud/Waste/Abuse), should be filed directly to the following agencies:

"Texas Anti-Solicitation - Solicitation of Patients" Complaints & "Deceptive Trade Practices" Complaints. Such complaints should be filed directly to the:

"Federal Stark Law / False Claims Act / Anti-Kickback Statute / Physician Self-Referral Law" Complaints. Such complaints should be filed directly to the:

"Medical Records Privacy Violation & HIPAA Violation" Complaints. Such complaints should be filed directly to the:

♦ "Controlled Substances / Prescription Fraud / Drug Diversion" Complaints. Such complaints should be filed directly to the:

"Private Insurance Company ("Fraud")" Complaints. First, with regard to complaints against an (private) insurance company, the Texas State Board of Podiatric Medical Examiners has NO authority to proceed against an insurance company.

  1. However, one can file a complaint with the Texas Department of Insurance.
  2. If you are a private insurance company alleging that "Fraud" has been committed by a podiatric physician, the Board "Recommends" taking notice of the following as the term "Fraud" appears to be used in varying meanings with regard to billing/fee disputes/discrepancies. Texas Penal Code Chapter 35 "Insurance Fraud" provides, in part, for the criminal offense of "Insurance Fraud." There are other relevant criminal "Fraud" statutes in Texas law and Federal law that have an applicability of jurisdiction. Private insurance companies have the ability to resolve provider disputes pursuant to their policies/by-laws on claiming/paying for services and terms of coverage. Civil remedies are also available for resolution. Criminal remedies are available by filing a complaint with local law enforcement and/or with the Texas Department of Insurance's Fraud Unit (which typically involve situations where claims were made for services NOT provided).
  3. In the Board's position, there are situations where "Inappropriate/Abusive/Excessive/Over Usual-Customary" billing has taken place and while these are of concern, they at times do not necessarily rise to the level of a criminal act, but more so appear to be policy/by-law/contractual/agreement violations. The filing of those complaints are expected to be supported by the private insurer's review of medical records substantiating the allegations by evidence; with material proof of the same submitted along with the complaint. In addition, there are times when "Inappropriate/Abusive/Excessive/Over Usual-Customary" billing has taken place due to "Educational" issues of proper claiming/billing.
  4. The Board therefore has an expectation that private insurers properly educate providers (and that providers attend to education) on such expectations/provisions and change of terms. Proactive private insurer claims/billing education (and provider attendance to the same) has the potential to reduce unwanted provider issues which in the long term assures the (financial) health of beneficiaries and the health insurance industry.

"Hospital & Ambulatory Surgical (Day Surgery) Center / Facility" Complaints. Hospitals and surgery centers want to assure quality control and want to practice risk management for the benefit of their patients, employees and medical staff. A patient may at any time notify a hospital's or surgery center's medical staff & administrative offices of complaints & quality of care issues. Direct communication of such issues at the local level with the local providers can provide a more direct opportunity for local control/resolution of complaints & quality of care issues. Otherwise, such complaints should be filed directly to the Health Facility Program at the Texas Department of State Health Services. DSHS ensures that hospitals, clinics and many other health facilities provide safe and responsible care. DSHS can also investigate allegations of improper billing by hospitals.

"Nursing Home" Complaints. The Texas Department of Aging and Disability Services is the state agency charged with licensing and inspecting nursing homes. DADS also has the authority to investigate alleged violations of state and federal nursing home standards.

"Correctional Health Facilities" Complaints. Complaints involving health care provided to an inmate should be filed directly to the: