Chiropractor charged in scheme to cheat Pennsylvania health insurer

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A Luzerne County, Pa., chiropractor faces insurance fraud charges for filling false claims as a patient to a local Blue Cross affiliate.

healthcaresymbolGary P. McGee, of Wyoming Valley Family Chiropractic in Forty Fort, Pa., is accused of submitting $83,980 in false claims to Blue Cross of Northeastern Pennsylvania as a patient of another doctor who works in the same building, according to The Times Leader (Wilkes-Barre, Pa.).

McGee allegedly used a rubber stamp with the other doctor’s name on it to forge the 212 illegal documents between 2004 and 2007, collecting about $106,217 in payments.

However, a five-year statute of limitations for insurance fraud in the state means that only 74 submissions of claims payments to McGee can be prosecuted, according to the report.

An agent from Blue Cross referred the case to the Northeastern Pennsylvania Insurance Fraud Task, after noticing many inconsistencies filed by McGee, including the allegation that the other doctor provided services to him. The other doctor, who was not identified, told investigators that he had an arrangement with McGee that they would share billing software and his receptionist said she never submitted or completed any of the claims for McGee as a patient.

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