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.

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