A Chicago chiropractor is facing federal fraud charges after billing a private insurer for nonexistent services. The defendant is alleged to have owned and operated Movement Health and Rehab, also known as Motu Chiropractic. According to federal authorities, he submitted false claims to Blue Cross Blue Shield of Illinois for health care services that the defendant knew he never rendered. In some cases, allegedly fraudulent claims were rendered on dates when the patient or their chiropractor was not in Illinois. Other claims involved chiropractic services that were provided to the defendant and his family members even when the defendant knew that those services were not provided. Blue Cross Blue Shield denies claims that are provided to family members. So, the defendant knew that the claim would be denied.
When Blue Cross Blue Shield audited the defendant’s claims, he submitted false patient information to them. As a result of the fraudulent claims, the defendant made $430,000 in ill-gotten proceeds, according to the indictment. The defendant is now facing 14 counts of healthcare fraud. Each individual count is punishable by up to 10 years in federal prison. Below, we will discuss the crime of healthcare fraud.
Those Accused of Healthcare Fraud Often Face Federal Charges