CA Chiropractor Guilty of Healthcare Fraud Charges that She Schemed to Defraud Health Insurers Out of $2.2M

A former Orange County chiropractor was found guilty by a jury of federal criminal charges accusing her of defrauding health insurers by fraudulently submitting and causing to be billed $2.2 million in billings for chiropractic services never provided, bogus medical diagnoses, office visits that never occurred, and medical devices falsely prescribed. Susan H. Poon, 56, of Dana Point, was found guilty of five counts of healthcare fraud, three counts of making false statements relating to healthcare matters, and one count of aggravated identity theft in the first criminal jury trial to occur in the Central District of California since March 2020. According to the evidence presented at her five-day trial, from January 2015 to April 2018, Poon, whose office was located in Rancho Santa Margarita, schemed to defraud Anthem and Aetna by submitting false reimbursement claims for services that never occurred, false diagnoses and chiropractic services that were never performed. Poon also submitted fraudulent prescriptions containing fabricated medical diagnoses of individuals that she had never met, including children, causing a medical device manufacturer to submit false claims for reimbursement to Blue Shield of California.

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