Insurance Fraud: DR. PAUL MADISON Convicted On Fraud Charges For Billing Insurance Companies

<h2>Federal Jury Convicts Chicago Doctor on Fraud Charges for Billing Insurance Companies for Nonexistent Treatment<&sol;h2>&NewLine;<p>CHICAGO — A federal jury has convicted a Chicago doctor on fraud charges for billing insurance companies for purported chiropractic manipulations that were never performed&period;<&sol;p>&NewLine;<div class&equals;"mh-content-ad"><script async src&equals;"https&colon;&sol;&sol;pagead2&period;googlesyndication&period;com&sol;pagead&sol;js&sol;adsbygoogle&period;js&quest;client&equals;ca-pub-9162800720558968"&NewLine; crossorigin&equals;"anonymous"><&sol;script>&NewLine;<ins class&equals;"adsbygoogle"&NewLine; style&equals;"display&colon;block&semi; text-align&colon;center&semi;"&NewLine; data-ad-layout&equals;"in-article"&NewLine; data-ad-format&equals;"fluid"&NewLine; data-ad-client&equals;"ca-pub-9162800720558968"&NewLine; data-ad-slot&equals;"1081854981"><&sol;ins>&NewLine;<script>&NewLine; &lpar;adsbygoogle &equals; window&period;adsbygoogle &vert;&vert; &lbrack;&rsqb;&rpar;&period;push&lpar;&lbrace;&rcub;&rpar;&semi;&NewLine;<&sol;script><&sol;div>&NewLine;<p>DR&period; PAUL MADISON&comma; an anesthesiologist and pain management specialist&comma; owned Watertower SurgiCenter LLC&comma; an outpatient surgical center on North Michigan Avenue in Chicago&period; From 2005 to 2009&comma; Dr&period; Madison directed Watertower’s billing staff to submit false bills to insurers for manipulation-under-anesthesia of body parts that chiropractors at Watertower had not actually performed&period; As part of the scheme&comma; Dr&period; Madison and others falsified patient records to support the fraudulent health insurance claim forms&period; Dr&period; Madison then caused these fraudulent claims to be submitted to patients’ insurance companies for payment&period;<&sol;p>&NewLine;<p>The jury in federal court in Chicago on Thursday convicted Dr&period; Madison&comma; 65&comma; of Chicago&comma; on all eleven counts against him&period; The conviction includes six counts of health care fraud&comma; three counts of making false statements in connection with the delivery of health care services&comma; and two counts of aggravated <a href&equals;"https&colon;&sol;&sol;www&period;fraudswatch&period;com&sol;simple-steps-you-can-take-to-stop-identity-theft&sol;amp&sol;">identity theft<&sol;a>&period; U&period;S&period; District Judge Robert M&period; Dow&comma; Jr&period;&comma; set sentencing for March 25&comma; 2019&period;<&sol;p>&NewLine;<p>The verdict was announced by John R&period; Lausch&comma; Jr&period;&comma; United States Attorney for the Northern District of Illinois&semi; Jeffrey S&period; Sallet&comma; Special Agent-in-Charge of the Chicago office of the Federal Bureau of Investigation&semi; and James Vanderberg&comma; Special Agent-in-Charge of the U&period;S&period; Department of Labor’s Office of Inspector General in Chicago&period; The government is represented by Assistant U&period;S&period; Attorneys Edward G&period; Kohler and Jennie Levin&period;<&sol;p>&NewLine;<p>Watertower SurgiCenter was an outpatient surgical center where a variety of medical and chiropractic procedures were performed&comma; including manipulations-under-anesthesia&period; An MUA involves chiropractic adjustments on patients who had been anesthetized&period; Evidence at trial revealed that Dr&period; Madison disguised Watertower’s fraudulent billing by creating false medical and billing records&period; In at least two instances&comma; Dr&period; Madison included in the fraudulent billings the names&comma; addresses and dates of birth of patients without their knowledge&period;<&sol;p>&NewLine;<p>Each count of health care fraud is punishable by a maximum sentence of ten years in prison&comma; while the false statement counts each carry a maximum penalty of five years&period; Each aggravated <a href&equals;"https&colon;&sol;&sol;www&period;fraudswatch&period;com&sol;loans-fraud-getting-a-loan-after-identity-theft&sol;amp&sol;">identity theft<&sol;a> count carries a mandatory consecutive sentence of two years&period; The Court must impose a reasonable sentence under federal statutes and the advisory United States Sentencing Guidelines&period;<&sol;p>&NewLine;<p><a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;usao-ndil&sol;pr&sol;federal-jury-convicts-chicago-doctor-fraud-charges-billing-insurance-companies">Original PressReleases&&num;8230&semi;<&sol;a><&sol;p>&NewLine;

Financial FraudHealth Care FraudInsurance Fraud