Newport chiropractor convicted of health care fraud conspiracy
NEWPORT, KY (FOX19) -
The owner of a chiropractic
clinic in Newport, Ky. has been convicted of a fraud scheme involving tens of
thousands of dollars.
A federal jury in Covington
convicted 48-year-old Andrea Almond, of Cincinnati, for conspiracy to commit
health care fraud late Friday afternoon. The jury returned the verdict after four
days of trial and six hours of deliberation.
According to evidence established
at trial, from September 2008 through April 2010, Almond conspired with a
co-defendant to bill the Kentucky Medicaid Program for chiropractic services
rendered at the Newport Chiropractic Center.
Court documents state that Almond
never actually practiced at the Newport Chiropractic Center. The billed
services were instead provided by other doctors, who had never been approved or
enrolled in Kentucky Medicaid Program.
Officials say Almond billed the
Kentucky Medicaid Program using her National Provider Identification number, knowing
that the Kentucky Medicaid Program would not have paid for any claims for
treatment rendered by unapproved providers.
Officials say Almond and her
co-conspirator fraudulently submitted approximately 1,943 claims to the
Kentucky Medicaid Program, which totaled $483,797. Documents sate they received
$95,098 in payment.
Co-conspirator Elaine Legg has
already pled guilty in the case.
In a separate case, Dr. Nanci
Allen, a former part owner in the Erlanger Chiropractic Clinic, pled guilty to
a similar scheme to defraud the Kentucky Medicaid Program. These individuals are
also awaiting sentencing.
Almond will appear for sentencing
on September 4, 2014. She faces a maximum of 10 years in prison.