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Feds, SD Chiropractor Association Reach Settlement
Yellow Pages
Written by TAC Staff: Yellow Pages   
Saturday, 25 May 2013 15:23
aroundtheworld
SIOUX FALLS, SD The U.S. Department of Justice says it has reached a settlement with a chiropractor association in South Dakota over fixed prices. The department's Antitrust Division filed a civil lawsuit against Chiropractic Associates Ltd. of South Dakota. The association comprises approximately 80 percent of all practicing chiropractors in the state. 
 
The Department of Justice says the association negotiated at least seven contracts with insurers that set prices for chiropractic services, which caused consumers to pay higher fees.
 
The proposed settlement will prevent the association from establishing prices or terms and from negotiating with insurers on behalf of competing chiropractors. It must still be approved by the court.

Source: Rapid City Journal
 
 
Two Years Later Chiropractor Charged With Groping Patient
Yellow Pages
Written by TAC Staff: Yellow Pages   
Thursday, 25 April 2013 23:02
aroundtheworld
Seattle, WA: A Federal Way chiropractor alleged to have sexually assaulted three patients now faces a criminal charge in one purported groping.
 
More than two years after the first woman went to authorities, King County prosecutors have a chiropractor with indecent liberties, a felony sex offense.
 
The chiropractor has been charged with groping one patient in September 2010. At least three other former patients have filed complaints against him with the state Department of Health; two of those complaints have been detailed publicly.

The charges against the chiropractor filed earlier this month stem from a complaint by a 51-year-old woman alleged to have been groped b at his office.
 
The woman initially went to police and Department of Health authorities shortly after the September 2010 incident. Her complaint was at first rejected by a state disciplinary board, a board that reversed itself after two other women came forward with complaints.
 
Writing the court, a Federal Way detective said the initial complainant met with Summers at the chiropractor’s office. The D.C. is alleged to have reached up the woman’s shirt and fondled her breasts during the visit.

Concerned by the chiropractor’s behavior, the woman filed a complaint with the Department of Health later that day. She contacted police a week later.
 
Department of Health investigators reviewed the woman’s complaint and in January 2011 submitted their findings to the Chiropractic Quality Assurance Commission, an oversight board comprised primarily of licensed chiropractors.

The board found the evidence presented by investigators did not support a finding and did not take any action against the chiropractor, a Department of Health spokeswoman said Tuesday. The Chiropractor was allowed to continue his practice until November, when the board suspended his license after receiving additional information from the woman and two other purported victims.
 
The allegations now made against Summers through the state process are more severe than those currently offered by King County prosecutors.

In addition to the first woman’s claims, Department of Health investigators detailed two other former patients’ complaints in their report to the chiropractic board. A fourth patient has also complained to the Department of Health about Summers.

According to documents filed by the state, one of the more recent patients claimed Summers touched her crotch and offered himself as a sexual teaching tool. A third woman claimed Summers touched her inappropriately after offering to massage her internally.
 
The complaints against Summers were not made public until November, two years after the woman’s initial complaint that Summers had groped her. Summers’ medical license has been suspended by the chiropractic board.

Summers was charged Friday with indecent liberties. He has not been jailed in the case.

Source:  SeattlePI.com
 
 
D.C. Burglarizing Tucson Area
Yellow Pages
Written by TAC Staff: Yellow Pages   
Thursday, 25 April 2013 22:58
aroundtheworld
Tucson, AZ - A string of businesses burglaries throughout the Tucson area in a 3-month period. There's been well over 60 cases in the Tucson area. Pima County Sheriff's Burglary detectives say they may have a break in the case but they need your help.
 
Detectives are looking for Charles Spear a former chiropractor no longer in practice. Detective Hans Goritz says he wears a black surgical mask due to a facial deformity and he may be living out of his Ford Explorer. "We have forensic evidence that ties him specifically to one break in at the chiropractic office on Oracle Road."
 
A string of burglaries followed. News 4 Tucson obtained surveillance video of another suspect investigators are hoping you can help identify. Det. Goritz describes the video, "You actually see the rock getting thrown through the window a white male subject wearing dark clothing coming in crawl in thru the window. He hops over the counter." He's seen rifling through drawers of an east side dental office grabbing what he can. He hops back over the counter and leaves. All this in 65 seconds.
 
Detectives say he stole $4.00 and change. "In this particular case, the damage is far exceeding what he gained out of it."
 
Last month, there was a special operation to try and catch the burglars in the act. The target area, North Oracle Road from River to Magee.
 
The Sheriff's Department is determined to find the burglars wreaking havoc on businesses, not knowing if the suspects could be dangerous. Detective Jesus Banuelo says, "You prepare as if they are the most dangerous person especially at night." He says the motivation for the burglaries "is typically drug related. It always comes back to somebody trying to get quick money to get their quick fix."

Source: KVOA News
 
Largest Ever Automobile Fraud Ring Accept Guilt
Yellow Pages
Written by TAC Staff: Yellow Pages   
Monday, 25 March 2013 18:45
aroundtheworld
Washington, DC - Preet Bharara, the United States Attorney for the Southern District of New York, announced that five defendants have pled guilty for their roles in a systematic scheme to defraud private insurance companies of more than $400 million under New York’s no-fault automobile insurance law.
 
The case is the largest single no-fault automobile insurance fraud scheme ever charged. Andrey Anikeyev, an owner and controller of various acupuncture clinics, pled guilty before U.S. District Judge J. Paul Oetken to conspiracy to commit mail fraud and health care fraud. Dmitry Slobodyansky, who owned and controlled chiropractic clinics, also pled guilty before Judge Oetken to conspiracy to commit mail fraud and health care fraud. Sergey Gabinsky, a medical doctor, pled guilty before Judge Oetken earlier in Febuary, and Pavel Poznansky, an acupuncturist, and Constantine Voytenko, a chiropractor, pled guilty before Judge Oetken in December 2012. All five were arrested in February 2012 with 31 other defendants, some of whom were also charged with racketeering and money laundering. The 36 defendants include 10 doctors and three attorneys.
 
Manhattan U.S. Attorney Preet Bharara said, “These five defendants piled up fraud to the tune of $400 million in a scheme to exploit New York’s no-fault auto insurance laws. We remain committed to ensuring that all their alleged co-conspirators, including the corrupt medical and legal professionals charged with using their professional licenses and training to facilitate this brazen fraud, see justice.”
 
According to the indictment, superseding informations, and other publicly filed information in the case:
 
Under New York State law, every vehicle registered in New York State is required to have no-fault automobile insurance, which enables the driver and passengers of a registered and insured vehicle to obtain benefits of up to $50,000 per person for injuries sustained in an automobile accident, regardless of fault (the “No-Fault Law”). 
 
In order to mislead New York authorities and private insurers, some of the defendants in this case who were the true owners of these medical clinics (“No-Fault Clinic Controllers”) paid licensed medical practitioners, including doctors, to use the practitioners’ licenses to incorporate the professional corporations through which the medical clinics billed the private insurers for the bogus medical treatments. Gabinsky was one such doctor who admitted in open court to prescribing unnecessary medical treatments and to allowing co-conspirators to use his medical license to unlawfully open medical clinics in order to defraud insurance companies. Poznansky and Voytenko were medical practitioners who billed insurance companies for treatments to patients that were unnecessary.
 
The No-Fault Clinic Controllers also instructed the clinic doctors to prescribe excessive and unwarranted referrals for various “modality treatments” for nearly every patient they saw. The treatments included physical therapy, acupuncture, and chiropractic treatments—as much as five times per week for each—and treatments for psychology, neurology, orthopedics, and audiology. Clinic doctors also prescribed unnecessary MRIs, X-rays, orthopedics, and medical supplies. The No-Fault Clinic Controllers received thousands of dollars in kickbacks for patient referrals from the owners of the modality clinics (“modality controllers”). Anikeyev and Slobodyansky were two such Modality Controllers who admitted to billing insurance companies for treatments that patients did not need.

Source: Imperial Valley News

 
 
Boca Raton Chiropractor Sentenced in Staged Accident Scheme
Yellow Pages
Written by TAC Staff: Yellow Pages   
Monday, 25 March 2013 18:39
aroundtheworld
Boca Raton, FL- A Boca Raton chiropractor connected with a staged accident fraud scheme has been sentenced to more than four years in prison and ordered to pay nearly $2 million in restitution to insurance companies, the U.S. Attorney's Office said on Friday.
 
Jennifer Adams, 39, pleaded guilty in November to a charge of conspiring with others to commit mail fraud in the scheme. She was linked to an accident-staging ring at clinics in West Palm Beach and Palm Springs.
 
 Adams, who agreed to give up her medical licenses, has also practiced in Fort Lauderdale.
 
According to court documents, drivers and their friends and family members were recruited to participate in the staged accidents. The recruiters coached the participants on how to stage the crashes, speak with police officers and claim injuries.

After they obtained police reports for the bogus accidents, the participants would then file false insurance claims alleging that they, along with their passengers, had been injured, the U.S. Attorney's Office said.
 
The participants would then go to chiropractic clinics, Ovy Rehabilitation Medical Center Inc., in West Palm Beach, and Chiropractic Office of South Florida LLC in Palm Springs, and sign blank paperwork indicating they had received treatment.

However, some had received little to no treatment at all, authorities said.
 
According to the U.S. Attorney's Office, Adams lent her name on corporate paperwork for both clinics to allow them to bill the insurance companies for the claims. Although she was listed as the owner, co-conspirators ran the clinics and controlled the bank account.
 
Court records show that Adams initially believed the clinics were legitimate but remained affiliated with them after learning about the fraud.
 
The fake claims were submitted to 10 insurance companies that made a total of $1.9 million in payments.
 
Adams' 54-month prison sentence will be followed by three years of supervised release.

Source:  Sun Sentinel
 
 
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