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FBI Says Chesterfield Chiropractor Guilty of Massive Billing Fraud

Fabrications were ongoing since 2006, investigation claims.

 

A Chesterfield resident and chiropractor with a 30-year practice was indicted Wednesday by a Federal grand jury on felonies that included billing for health care that didn't happen, and falsifying thousands of documents for reimbursement from insurance.

Anthony William Calandro, 55, could face a maximum of up to 30 years in prison and $3.75 million in fines that include his chiropractic business—if found guilty.

Calandro's billing assistant Sherry Rueter, 62, was indicted on identical charges.

Using false codes, the pair submitted thousands of false claims for missed appointments. 

The practice is located at 9109 Watson Road in Crestwood, Chiropractic Accident Centre. 

Law enforcement said the business allegedly billed insurance companies for X-rays never taken, and for appointments patients had canceled or missed.              

Two undercover investigations revealed that Calandro and Rueter billed multiple insurance companies in 2010 and 2011 for services that were never rendered, according to the indictment.

In addition, the pair submitted numerous reimbursement claims from 2006 to 2011, that falsely stated the number of X-rays the Chiropractic Centre had taken. In most instances, only one or two X-rays were taken during a patient’s visit, but many more alleged X-rays were billed. 

The indictment also says that since insurance companies would not reimburse for a patient's missed appointment, they falsely indicated that a billable service had been provided to patients.        

Calandro, Rueter and Chiropractic Accident Centre of Crestwood, P.C. were each indicted by a federal grand jury on:

  • one felony count of health care fraud
  • four felony counts of making false statements related to health care services.        

If convicted:

  • each count of health care fraud carries a maximum penalty of ten years in prison and/or fines up to $250,000; 
  • each count of making false statements carries a maximum of five years in prison and/or fines up to $250,000.  
  • The corporation faces maximum fines up to $500,000 per count of the indictment. 

    Additionally, upon a finding of guilt, the defendants will be subject to forfeiture to the government of all money derived from their illegal activity.  

    Online resume websites indicate Calandro went to Logan College of Chiropractic in Chesterfield.       

    Every defendant is presumed to be innocent unless and until proven guilty.

    Related Topics: Anthony Carandro and Chiropractor fraud

    Diogenes

    11:08 am on Thursday, July 26, 2012

    ALL chiropractors, a.k.a. snake oil salesmen, are guilty of fraud. They exist only to pump up "medical" bills for uninjured people in fender benders or fake workplace injuries. They are charlatans and parasites, one and all.

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    Patti

    8:01 pm on Saturday, July 28, 2012

    You are so wrong!! You definitely have a chip on your shoulder. I have gone to a great chiropractor who helped me so much after a terrible fall. He is honest and I am very thankful for him. There is always someone who ruins the reputation for the good ones. Take a chill pill!!!

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    Jim

    1:26 pm on Wednesday, August 15, 2012

    Did you get up on the wrong side of the bed the day you wrote this?

    Jim

    1:22 pm on Wednesday, August 15, 2012

    Diogenes: I agree with Patti. Not because I am an honest chiropractor, but because I have first hand knowledge, and know many honest hard working people in this field.
    I don't even accept fender bender or work place injuries in my office! It is the patient who are more likely to commit fraud.

    Reply

    Jim

    1:24 pm on Wednesday, August 15, 2012

    Regarding this chiropractor who is accused of committing fraud...let's wait and hear his side of the story. If the evidence shows he is guilty, then sentence him, but don't pass judgement before the trial as this article seems to have done.

    Reply

    andrewmartin

    3:22 am on Monday, October 1, 2012

    is this true that the pair submitted numerous reimbursement claims from 2006 to 2011??

    <a href="http://www.dorsettchiro.com/">chiropractor chesterfield mo</a>

    Reply

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