Chicago Doctor Convicted on Charges of Billing Insurers for Nonexistent Treatment

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A federal jury has convicted a Chicago doctor on fraud charges for billing insurance companies for purported chiropractic manipulations that were never performed, the U.S. Attorney’s Office for the Northern District of Illinois reported.

Dr. Paul Madison, an anesthesiologist and pain management specialist, owned Watertower SurgiCenter LLC, an outpatient surgical center on North Michigan Avenue in Chicago.
The US Attorney’s Office, from 2005 to 2009, Under Madison’s management, Watertower’s billing staff reported that it offered fake invoices to insurers to anesthetize body parts that were not actually made by Watertower’s chopper.

To support fraudulent health insurance claim forms, Madison and others have falsified patient records and handed over compensation payments to sick insurance companies. Evidence in the trial, Dr. He discovered that Madison created false medical and billing records, hiding Watertower’s fraudulent billing. In at least two examples, Madison has included fraudulent invoices, patient names, addresses and birth dates without any information.

The jury at the federal court in Chicago, Chicago, 65-year-old Dr. He condemned Madison to every 11 counts against him. The six counts of conviction of health care are counted as three counts of misrepresentation in connection with the delivery of health services and two counts of aggravated identity theft. US District Judge Robert M. Dow, Jr. On 25 March 2019, he ruled.

Each fraudulent health service is punished with a maximum of 10 years in prison, and each of the misrepresentation counts requires a maximum of five years. The number of each aggravated identity theft carries a consecutive sentence of two years mandatory. The court must impose a reasonable sentence in accordance with the federal regulations and the US United States Provisions Guidelines.

The decision was announced by the US Attorney General for John R. Lausch, Jr., Northern Territory of Illinois; Jeffrey S. Sallet, Special Representative of the Chicago Bureau of the Federal Bureau of Investigation; and James Vanderberg, Special Representative to the Office of the Office of the General Inspector of Chicago of the US Department of Labor. The government is represented by US Defense Attorneys Edward G. Kohler and Jennie Levin.

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