Sacramento chiropractor and staff busted for insurance fraud
News: 2017 Press Release
Former in-house biller Pam Rivas, 58, of Cameron Park and office managers Cristen Jones-Hassanali, 37, of Sacramento and Stacey Fellows, 37, also of Sacramento face seven counts of felony insurance charges.
An investigation by department detectives revealed Guenther, owner and operator of Fort Sutter Chiropractic, and his staff billed several insurers for mechanical traction treatments for 50 to 70 patients per day between 2012 and 2015, when no mechanical traction units were in the office. Insurers paid $150,325 to Fort Sutter Chiropractic in fraudulent claims.
"Health insurance fraud is rampant in California, totaling billions of dollars annually and requiring consumers to pay higher premiums," said Insurance Commissioner Dave Jones. "One of the top priorities of this department is to investigate fraud, including medical provider fraud, which is often complex and costly."
Guenther was released on $150,000 bail. Rivas, Jones-Hassanali, and Fellows are scheduled to appear in court tomorrow. This case is being prosecuted by the Sacramento County District Attorney's Office.
- All suspects self-surrendered February 2, 2017
- No booking photos available
- Fort Sutter Chiropractic is under new ownership; William Guenther is no longer affiliated with the practice.
The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $288 billion in premiums annually in California. In 2015 the California Department of Insurance received more than 155,000 calls from consumers and helped recover over $84 million in claims and premiums. Please visit the Department of Insurance web site at www.insurance.ca.gov. Non-media inquiries should be directed to the Consumer Hotline at 800.927.HELP or 213.897.8921. Telecommunications Devices for the Deaf (TDD), please dial 800.482.4833.