Chiropractor settles Medicaid fraud claims
FRANKFORT, Ky. (WTVQ) – A West Virginia chiropractor will pay $211,000 to resolve allegations he submitted fraudulent claims to Kentucky’s Medicaid program for services he didn’t personally render, according to the Attorney General’s Office.
44-year old Dustin Wright, of Parkersburg, West Virginia, voluntarily placed his Kentucky chiropractic license on inactive status, and is no longer authorized to provide chiropractic services to Kentucky Medicaid patients, according to the Attorney General’s Office.
In December 2016, the Attorney General’s Office launched an investigation after Anthem Inc. provided information regarding Wright’s billing practices from May 2, 2013, to Nov. 13, 2015.
The investigation found that Wright owned and operated a chiropractic clinic in Grayson, Kentucky. In late 2011, Wright moved to West Virginia and opened a chiropractic clinic in Parkersburg. Wright then hired other chiropractors to treat patients at the Grayson clinic in his absence, according to investigators.
The replacement chiropractors were not authorized to treat Kentucky Medicaid patients and one of them was not even licensed to practice chiropractic medicine, which is illegal in the Commonwealth, according to investigators.
In addition, unless a chiropractor has entered into a written provider agreement with Kentucky Medicaid, any claims submitted by him or her are not eligible for reimbursement.
The investigation further revealed that, although Wright had not examined or treated any patients at the Grayson clinic during the applicable time period, he submitted claims to Medicaid in which he falsely identified himself as the treating physician, according to the Attorney General’s Office.
Data provided by the West Virginia Medicaid Fraud Control Unit revealed that Wright was submitting claims for treating West Virginia Medicaid patients in Parkersburg on the same days he claimed he was treating Kentucky Medicaid patients in Grayson, according to investigators.
Parkersburg is more than 150 miles from Grayson and investigators say it is physically impossible for Wright to have been treating patients in both places at the same time.
The settlement money will be returned to the state Medicaid program.