Chiropractor gets jail time for workers' comp fraud - Cincinnati News, FOX19-WXIX TV

Chiropractor gets jail time for workers' comp fraud

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A Fairfield chiropractor was sentenced on Tuesday for felony workers' compensation fraud.

Bruce Holaday, owner of the Back and Spine Center, pled guilty in July. He must repay the Ohio Bureau of Compensation (BWC) $20,000 and will spend 30 days in jail and have five years of community control.

The investigation by BWC and Attorney General Mike DeWine's office, dubbed ‘Operation Backbreaker,' has already resulted in the conviction of four of Holaday's associates for their role in the scheme to defraud the state's workers' compensation system.

The investigation began after BWC's Special Investigations Department (SID) received an allegation that Holaday was unlawfully using the names and provider identification numbers of the chiropractors with whom he practiced to conceal from BWC his direct involvement in rendering or managing treatment for injured workers.  Holaday had been decertified as a BWC health care provider and was prohibited from seeking and receiving reimbursement from BWC.

BWC special agents posed as injured workers and sought treatment at two clinics.  Investigators found that in addition to concealing his direct involvement in treating injured workers to circumvent his exclusion, Holaday also billed and received payment from BWC for treatment never provided to injured workers.  In carrying out the scheme, Holaday created bogus treatment records to substantiate the fraudulent bills submitted to BWC.

SID's investigation already resulted in the conviction of four associates at Holaday's chiropractic clinic. Dr. Gary T. Berner pleaded guilty to felony workers' compensation fraud for his active involvement in the scheme.  He was sentenced to 5 years community control and ordered to pay over $110,000 in restitution and investigative and court costs.  As part of his community control, Dr. Berner was also handed a conditional sentence of 180 days in Franklin County jail.

Additionally, Dr. Dennis M. Mulcahy; Charles E. Hoskins, Jr.; and Debra A. Ramge have all pleaded guilty to felony workers' compensation fraud.

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