Federal fraud charges brought against Eureka chiropractor

  • In US
  • 2022-09-22 19:48:38Z
  • By Journal Star

A Eureka chiropractor faces up to 20 years in prison after being indicted for allegedly hatching a $1.6 million Medicare fraud scheme.

Federal grand jurors returned a 13-count indictment against Carrie A. Musselman that included charges of healthcare fraud, two counts of obstructing a federal audit and 10 counts of wire fraud. The latter charges are the most serious, carrying a possible 20-year prison term. The other charges have a five-year maximum imprisonment.

She is due to appear in federal court in Peoria to be arraigned on the charges. An attempt to reach Musselman on Thursday at the Eureka clinic, which remains open, was not immediately successful. A message was also left on the company's Facebook page.

The charges come 11 months after the FBI made a court-authorized visit to Preferred Care Medical Center, 1932 S. Main St., Eureka. At the time, federal authorities did not disclose any information regarding their visit to the medical office.

Musselman is accused of using improper coding and mischaracterizing "care that was provided in order to receive payment from Medicare that would not otherwise have been covered and to receive payments in greater amounts than would have been allowed," the indictment alleges.

Preferred Care Medical Center, Lt.
Preferred Care Medical Center, Lt.  

At issue was who did the medical care at her clinics. Medicare allows up to 100% reimbursement for physicians but only reimburses at 85% for "mid-level providers," such as nurse practitioners or physician assistants.

The indictment alleges Musselman improperly submitted claims to Medicare saying work was done by physicians when they were really done by mid-level physicians.

"Musselman submitted and caused to be submitted these claims, despite the fact that Preferred Care did not have any physicians on staff and almost never had a physician at one of its facilities." the indictment alleged.

It also stated she used the name of a physician, saying he worked there when he did not, the indictment stated.

The 10 wire fraud charges allege eight times in 2017 that she submitted false claims. The obstruction charges stem from incidents in November and December 2018.

If she is convicted, the government has indicated it would attempt to seize real estate owned by Musselman as well as assets to try to make up for the losses.

This article originally appeared on Journal Star: Eureka chiropractor in Illinois faces federal fraud charges


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