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Chiropractor Cracks, Pleads Guilty to Insurance Fraud for Third Time in a Decade
Yellow Pages
Written by TAC Staff: Yellow Pages   
Monday, 24 December 2012 08:53
aroundtheworld
Ridgewood, NJ: Prosecutors say Craig Klein, of Ridgewood, filed misleading and faulty personal injury claims to auto insurers. He has previous convictions for insurance fraud. A former chiropractor has admitted guilt in running an auto insurance fraud scheme for the third time in a decade, Passaic County Prosecutor Camelia M. Valdes announced Wednesday.
 
According to prosecutors, Craig Klein, 46, of Ridgewood, paid "runners" to steer accident victims to Hamilton Rehabilitation Center in Paterson and then submitted over 30 fraudulent personal injury claims to automobile insurers from Dec. 2010 and Feb. 2011.
 
Klein, a co-owner, shared in the profits from the faulty claims, receiving between $500 and $75,000, Valdes said.
 
He has previous convictions for similar schemes in 2003 in Essex County and in Massachusetts in 2008. The state suspended his license to practice in 2005. Klein admitted guilt in providing false information to insurance companies that his downtown Paterson office was actually legitimate, Valdes said.
 
Prosecutors allege the chiropractic business – billed as a treatment center for those injured in auto accidents – was anything but.
 
"He knew that non-chiropractors had an illegal disguised ownership interest in the facility and that the facility paid runners for illegal referrals," Valdes said in a written statement.
 
Three other employees of Hamilton Rehabilitation Center were also indicted for their alleged roles in the scheme, according to prosecutors.
 
Klein pleaded guilty to a charge of theft by deception, a third degree charge that could land him behind bars for five years.
 
The investigation took over a year and remains ongoing, Valdes said.
 
Source: Ridgewood-Glenrock Patch
 
 
Chiropractor Pleads Guilty to Fraud
Yellow Pages
Written by TAC Staff: Yellow Pages   
Sunday, 25 November 2012 22:15
aroundtheworld
LAFAYETTE, LA-A Lafayette chiropractor has pleaded guilty to federal health care fraud charges for billing an insurance company for more than $170,000 in treatments that were not done.

The Advocate reports (http://bit.ly/R7XNg9) Michael Keith Johnsey, of Acadiana Doctors of Chiropractic in Lafayette, faces up to 10 years in prison on three counts of health care fraud in connection with hundreds of fraudulent billings to Blue Cross Blue Shield of Louisiana between 2008 and 2011.

Prosecutors also sought $176,243 in restitution.

Johnsey brought a check for the entire amount to the court hearing Thursday.

"He has been a model citizen and a good man," said Johnsey's attorney, Thomas Guilbeau. "He made a mistake and he is stepping up to pay restitution. ... He will do whatever he can to restore his name."
 
Source: Goerie.com
 
Phony D.C. Just Wanted to Work
Yellow Pages
Written by TAC Staff: Yellow Pages   
Sunday, 25 November 2012 22:12
aroundtheworld
PHILADELPHIA, PA-A Summerdale who posed as a chiropractor and a physical therapist and treated patients as part of an elaborate health-care fraud scheme was sentenced to six years in federal prison.

Tahib Smith Ali, 35, is to surrender to the Bureau of Prisons as soon as he gets a report date, U.S. District Judge Mitchell Goldberg said.

The judge also ordered Ali to make restitution of $287,972, which includes co-pays that Ali allegedly charged to 86 patients.

Ali, who was not licensed and had no medical training, purchased the Oasis Holistic Healing Village, on 17th Street near Spruce, in December 2008 from Dr. Paul Bodhise, a licensed chiropractor who was retiring and moving to California.

Ali told Goldberg that he tried to recruit a chiropractor from Delaware but he couldn't get licensed here.

"I should have stopped then, but I wanted to make the business work," he said. "I was afraid of failure."

After the business began to slow and patients stopped coming, Ali started submitting claims for chiropractic treatments to Independence Blue Cross and other insurers using Bodhise's name and medical provider number.

"It was the dumbest thing I ever did," said Ali, who pleaded guilty in June to health-care fraud and aggravated identity theft.

Between January 2009 and April 2010, prosecutors said, Ali submitted bogus claims for $1.4 million and actually received payments of more than $280,000 from IBC and other insurers.

Defense attorney Christopher Hall said Ali was a "good man, a caring man" who had "started with good intentions" but "whose judgment was clouded by a desire to run a business."

Assistant U.S. Attorney Mary Beth Leahy painted a far darker portrait of Ali, who allegedly wore scrubs and white lab coats when he met with and examined patients.

She said Ali's "deceit had no bounds" and he had acted "without concern for [patients'] dignity, privacy and health."

The prosecutor said Ali had even performed muscle-stretching on a 10-year-old girl with cerebral palsy who was wheelchair-bound and unable to speak.
 
Soure: Philadelphia Daily News
 
Ohio D.C. Pleads Guilty to Medicare Fraud
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Yellow Pages
Written by TAC Staff: Yellow Pages   
Sunday, 25 November 2012 22:09
aroundtheworld
AKRON,OH — A Medina chiropractor has pleaded guilty to defrauding Medicare and insurance companies of more than $1.8 million.

Dr. John N. Heary, 38, was accused of submitting fraudulent bills to Medicare, Anthem Blue Cross and Blue Shield, Medical Mutual of Ohio and the Ohio Bureau of Worker’s Compensation, according to the U.S. Attorney’s Office, Northern District of Ohio.

Heary pleaded guilty Friday to seven counts of health care fraud. District Judge David D. Dowd Jr. allowed Heary to remain free on bond until his sentencing, scheduled for April 22.

He could receive a maximum of 10 years in prison, and he likely will lose his medical license, said U.S. Attorney’s Office spokesman Mike Tobin.

Heary was charged with 38 counts of health care fraud, nine counts of mail fraud and eight counts of paying illegal kickbacks. Tobin said 31 counts of health care fraud and all other counts were dropped as part of a plea bargain.

The attorney’s office accused Heary of providing patients with medical treatments that were unnecessary to their health or were more expensive than required.

Medicare and insurance companies reimbursed Heary more than $800,000, which he was ordered to repay, according to the U.S. Attorney’s Office.

Heary operated out of his office at 433 W. Liberty St. He last resided in Westfield Township
 
Source:  The Medina County Gazzette
 
 
Chiropractors Under State Scrutiny in W.Va.
Yellow Pages
Written by TAC Staff: Yellow Pages   
Tuesday, 23 October 2012 22:09
aroundtheworldCHARLESTON, WV.  A new report says West Virginia needs to regulate chiropractors, but questions the performance of the agency assigned that task.
 
Lawmakers were told Tuesday that the Board of Chiropractic has failed to notify licensees about complaints pending against them. The people who file complaints have been left in the dark as well.
 
The report to House-Senate interim committees also said the board failed to discipline one chiropractor found to have violated professional standards.
 
The legislative auditors raise specific concerns about the board's handling of two recent cases. In one, it renewed the license of a chiropractor indicted on federal health care fraud charges.
 
The other involved a chiropractor who obtained 31 pain pill prescriptions from four different providers. The board contacted federal authorities, but took no internal actions. 

 
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