“Operation Running Man” Claims AnotherRings & Mills — By Trace America on July 10, 2012 at 2:32 PM
Do the names Marc Kirshner or Jennifer Netter ring a bell? How about Operation Running Man? If you’ve been keeping up with his blog all those names might ring a bell.
George U. DeCarvalho, 56, is now the fourth chiropractor –and the sixth health care provider in total, to plead guilty in what the FBI calls Operation Running Man. He pleaded guilty to conspiring to commit health-care fraud.
According to InsuranceNewsNet.com, DeCarvalho, who owns DeCarvalho Spine and Rehab, has admitted to his involvement in the multi-million dollar insurance fraud ring. The ring consists of numerous chiropractors, doctors and lawyers who billed for exaggerated medical treatments in order to get bigger lawsuit settlements.
DeCarvalho was released on a promise to appear in court for his September 21st sentencing, where he will face anywhere from six to 16 months in prison.
Along with Netter and Kirshner, chiropractor Jennifer Lynne, Dr. James W. Marshall –who operates Immediate Medical Care, and former doctor and psychiatrist Francisco Carbone also pleaded guilty to charges.
The investigation is focusing on specific health-care providers and an elderly lawyer who specializes in personal injury cases.
Assistant U.S. Attorney Christopher Schmeisser said the scam ran from December 2006 to February 2010. The participants agreed to exaggerate injuries and providers billed for extensive treatment and tests, some of which were not performed. They then split the insurance proceeds.
Court documents note that DeCarvalho’s take ranged from $30,000 to $70,000.
The probe included the use of undercover agents who recorded conversations and spent most of their time focused on the lawyer whose personal injury clients received some form of state aid. Court documents allege that the unnamed lawyer would send clients to chiropractors for treatment. Carbone, whose medical license was suspended back in 1998 and then revoked in 2005, would write orders for treatment that often included nerve tests at one of Kirschner’s offices. Carbone also would recommend that Marshall write prescriptions for narcotic pain killers for the patients.
According to court documents, DeCarvalho was both a provider and a patient in the scheme. He also shared office space with Carbone and would provide treatment for some of the patients.
This post is authored by Trace America.