Yellow Pages

Animal Chiropractor Daniel Kamen Prompts State Crackdown
Yellow Pages
Written by TAC Staff: Yellow Pages   
Thursday, 25 July 2013 21:18
BUFFALO GROVE, IL, June 19, 2013  In 1995 chiropractor Daniel Kamen conducted his first of four hundred animal chiropractic technique seminars that was not just for licensed chiropractors and veterinarians, but also for regular horse and dog owners.  Each seminar quickly sold out. Kamen, an animal chiropractic pioneer and author of three bestselling books on animal chiropractic technique, The Well Adjusted Dog, The Well Adjusted Horse, and The Well Adjusted Cat, was swiftly served with cease and desist letters from several states claiming he violated their veterinary laws by teaching non-professionals to manipulate Spot, Seabiscuit, and Fluffy.
"Soon after I conducted my first few seminars I heard from a lot of states warning me to stay out.  Minnesota, Oklahoma, Arkansas, Georgia, Washington, Ohio, Louisiana, and Nevada all sent me cease and desist letters. Nevada! They allow gambling and prostitution but they'll lock you up for cracking a horse's tuchus."

Nevada even threatened Kamen with legal action if he didn't remove seminar announcements from his website,
"It's all about money," Kamen said.  "Dog owners won't spend five grand for hip dysplasia surgery when a simple, almost free chiropractic technique can help prevent its onset."
Aside from the hip dysplasia technique, dog owners paid close attention when Kamen demonstrated the bladder control move.  "It just takes four minutes a day," Kamen said.  "And no more soiled carpets."
By far, the most popular chiropractic technique among Thoroughbred trainers and barrel racers is the "Pre-Race Adjusting Sequence," which, according to Kamen, "increases efficiency and can shave fractions off the time."
Practitioners from as far away as Hong Kong, Australia, South Africa, and England flew in to learn these techniques. "My seminars attracted people from all over the world," said Kamen, 57, who is mostly retired and now conducts only one seminar a year.  "A Saudi prince once flew his personal chiropractor to my Philadelphia seminar so he could adjust his prized Arabians."
State laws regulating the practice of animal chiropractic haven't changed much in 18 years.  Even though there is a national veterinary chiropractic association certifying licensed practitioners, there are still less than two hundred full time professional animal chiropractors nationwide.  Additionally, most veterinary boards have shut out licensed human chiropractors who are also certified in animal chiropractic.  It's no wonder horse and dog owners who want their animals adjusted have to fend for themselves.

"That's why my seminars thrived," Kamen said. "Horse and dog owners were just as fed up with the system as I was and were forced to learn how to adjust their own animals who suffered from neck, back, and leg pain. Their frustration in searching for a trained professional fueled my business. The states who made it illegal for licensed chiropractors to adjust animals were really doing me a favor. They created a lay market for me for which I am eternally grateful.  My only problem now is finding the appropriate thank you card at Walgreens."
Bryan Chiropractic Clinic Owner Convicted in $3 Million Automobile Insurance Fraud
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Yellow Pages
Written by TAC Staff: Yellow Pages   
Tuesday, 25 June 2013 21:44
HOUSTON, TX—The owner of a now defunct chiropractic clinic in Bryan has pleaded guilty to engaging in a conspiracy to defraud various automobile insurance companies of more than $3 million, United States Attorney Kenneth Magidson announced today.
Marion Young, 42, co-owner of Private Chiropractic Care, admitted he participated in a two-year conspiracy to defraud numerous auto insurance companies by recruiting alleged auto accident victims to be represented by a Bryan area law firm. He further admitted he operated Private Chiropractic Care clinic as a front to allow fraudulent chiropractic bills to be created for treatments that were never performed and then used as support for fraudulent settlement demand letters sent to auto insurance companies. During the course of the conspiracy, Young received checks and cash from the firm totaling approximately $112,000.
Once represented by the firm, clients were sent to Private Chiropractic to be evaluated by chiropractor and co-defendant Chase Lindsey, 34. Lindsey pleaded guilty earlier this year, admitting he entered into an agreement with the office manager of that same law firm. Lindsey agreed to provide medical evaluations of and recommend treatment for those patients in exchange for $2,000 in cash per month, which totaled approximately $58,000 during the course of the conspiracy. Lindsey routinely prescribed medically unnecessary treatment which was provided, if at all, by unlicensed, untrained, and unqualified individuals and never supervised the treatments allegedly administered by these unqualified individuals. Lindsey always prescribed the same six treatments, but the patients usually received only two—ice/heat packs and electric stimulation. Lindsey prescribed the treatments be done three to four times per week for five to six weeks, but the patients usually went once a week for three to four weeks.
Young knew the patients were not receiving most of the treatments prescribed and that they were not going for treatments on many of the days reflected on the Private Chiropractic Care bills. Young knew the false Private Chiropractic Care billing was prepared at the law firm and that the fraudulent bills were used as support for settlement demand letters sent to auto insurance companies. The fraudulent demand letters caused the insurance companies to issue settlement checks, which were spilt between Young and others.
The scheme to defraud the automobile insurance companies resulted in the submission of more than $3 million in false billing claims. The insurance companies paid at least $1.2 million in false claims during 2007-2009.
U.S. District Judge Kenneth Hoyt, who accepted the guilty plea, has set sentencing for September 16, 2013, at which time Young faces up to 20 years in prison and a possible $250,000 fine. As part of his plea agreement, Young also agreed to forfeit the $112,000 he received and to pay restitution of $1.2 million to the insurance companies victimized by the scheme. Young was allowed to remain free on bond pending his sentencing.
Three remaining defendants charged in relation to this case are scheduled for trial on September 24, 2013. They are presumed innocent unless convicted through due process of law.
The criminal charges are the result of a joint investigation by agents of the FBI and the National Insurance Crime Bureau. Assistant United States Attorney Al Balboni is prosecuting the case.
Source: FBI
Chiropractor Gets Prison Selling Boots for 4k
Yellow Pages
Written by TAC Staff: Yellow Pages   
Tuesday, 25 June 2013 21:36
AKRON, OH— A chiropractor was sentenced to 2½ years in federal prison after being convicted of defrauding insurance companies and Medicare of more than $1.8 million.
The chiropractor pleaded guilty to seven counts of health-care fraud as part of a plea bargain. In exchange for his plea, prosecutors dropped 31 more counts of healthcare fraud, nine counts of mail fraud and eight counts of paying illegal kickbacks. 
His case was heard in a U.S. District Court.
The chiropractor was accused of supplying patients with medical treatments unnecessary to their health or which were more expensive than required. In some cases, he billed patients for treatments they never received.
“This doctor took advantage of programs designed to provide care and support for the old and the sick,” said U.S. attorney for the Northern District of Ohio. “Our office and the Justice Department are committed to rooting out health-care fraud in all its forms.”
The chiropractor provided custom-molded ankle-foot orthotics, or “boots,” to patients who did not need them and wrote false diagnoses to justify the billing, prosecutors said. He billed Medicare and insurance anywhere from $2,770 to $4,300 for each pair of boots, according to court documents.
He also routinely provided the most expensive back braces without any demonstration of medical necessity or any pursuit of a less costly alternative, billing Medicare and insurance companies from $995 to $1,250 for each brace, according to court documents.
If patients questioned the necessity of this medical equipment, the chiropractor said they were part of a “free package deal” and would be covered by their insurance, according to court documents.
Other questionable billing included supervised physical therapy when the patients were not supervised. He also billed for an hour’s worth of physical therapy when, at most, patients did a half-hour, according to court documents.
Prosecutors said he submitted the bills to Medicare, Anthem Blue Cross and Blue Shield, Medical Mutual of Ohio and the Ohio Bureau of Workers’ Compensation, which reimbursed him more than $812,000.
He was ordered in October to repay the money, U.S. Attorney’s Office spokesman Mike Tobin said. 

Source: The Medina Gazette
Blue Cross Must Pay $4M for Dropping Patient-Advocate Doc
Yellow Pages
Written by TAC Staff: Yellow Pages   
Saturday, 25 May 2013 15:28
A doctor who claimed health insurer  retaliated against him for being a strong patient advocate, has won a $3.8 million verdict against the insurer.
Jeffrey Nordella, a family-practice and urgent care doctor, used to be a preferred provider on the Anthem Blue Cross network, a unit of insurance giant WellPoint Inc. During that time, Nordella challenged the insurer’s decisions to deny his patients claims for coverage. He often protested Anthem’s denial of coverage because it wasn’t “medically necessary” and he even met with top Anthem officials in 2001.
When he applied to be a provider again in 2010, the insurer rejected his application.
Nordella sued Anthem, arguing that the reason he was not allowed in the network was in retaliation for sticking up for his patients.
Anthem claimed it did not need any more family practitioners because it already had 137 primary-care doctors in its network within 10 miles of Nordella, who was medical director of an urgent-care clinic and family medicine in southern California.

But at trial the insurance company could only name seven doctors, according to Nordella’s attorney, Theresa Barta. Barta argued that in order to lower costs and boost its profits, Anthem intentionally cuts doctors from its network to make it harder for patients to get care.
The jury found that Anthem denied the doctor’s right to a “fair procedure” with “malice, oppression or fraud,” and originally awarded Nordella $4.49 million. However, the jurors found he was 15 percent to blame for his loss of income and which cut down the award to $3.8 million.
The second phase of the trial began on Apr. 12. Barta argued that the jury should punish Anthem based on a portion of its profits of $525 million in 2010. If the jury agrees, Nordella’s award could be increased. 

Chiropractor Sued for Damaging Breast Implant
Yellow Pages
Written by TAC Staff: Yellow Pages   
Saturday, 25 May 2013 15:25
SYDNEY, AUSTRALIA  A judge in Sydney, Australia, awarded a woman $51,137 in damages after her chiropractor dislodged one of her breast implants while he adjusted her back in 2008.
Amanda Jurkovic, 33, claimed the damaged implant destroyed her sex life and led to the breakdown of her marriage, the Daily Telegraph reports.
Judge Michael Finnane ruled chiropractor Paul Hubbard was negligent because he failed to ask her if she had prior surgery or medical problems before "compressing her breasts" against the treatment table, the newspaper reported.
Jurkovic, a beautician from Winmalee, said her deformed breast caused her to be too embarrassed to have sex with her husband and led to their separation.
"She is a young, fit looking and attractive woman to whom her appearance is very important. She is entitled, in my opinion, to substantial compensation," Finnane said.

Source: Toroto Sun

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