3 February 2020
A Twin Cities {personal injury|injury|accident} {attorney|lawyer} {admitted|confessed} in federal court Monday to {participating in|taking part in} {a scheme|a plan} to defraud {auto|car|automobile|vehicle} {insurance companies|insurance provider|insurer} through {bogus|fake|phony} {health care|healthcare} claims.
William Kyle Sutor III, a 37-year-old St. Louis Park {lawyer|attorney|legal representative}, {told|informed} U.S. District Judge Nancy Brasel the {scheme|plan} {started|began} with “runners” who brought him {clients|customers} who {had|had actually} been victims of {car|vehicle|automobile|cars and truck} {accidents|mishaps}. The {clients|customers} all had no-fault {insurance policies|insurance coverage|insurance plan}, which, under Minnesota law, {must|should|need to} {provide|offer|supply} a minimum of $20,000 medical {benefit|advantage} {expenses|costs|expenditures}.
On {three|3} {separate|different} {occasions|events|celebrations}, Sutor {worked with|dealt with} {two|2} {chiropractors|chiropractic doctors|chiropractic practitioners|chiropractic specialists|chiropractics physician}, unnamed in court {documents|files}, {also|likewise} in on the {scheme|plan}. Sutor paid the runners $300 per {client|customer}, and {chiropractors|chiropractic doctors|chiropractic practitioners|chiropractic specialists|chiropractics physician} paid {between|in between} $1,000 and $1,500, Sutor {said|stated}.
{Then Sutor billed the {insurance companies|insurance provider|insurer} for chiropractic services that he {knew|understood} the {patient|client} {never|never ever} {received|got}.
| Sutor billed the {insurance|insurance coverage} {companies|business} for chiropractic services that he {knew|understood} the {patient|client} {never|never ever} {received|got}.
} Sutor {tried|attempted} to {conceal|hide} the {scheme|plan} by paying runners in {cash|money} or in checks {made out|constructed out|constructed} to {business|company|service|organization} entities for {seemingly|relatively|apparently} {legitimate|genuine} services like translation or {investigation|examination}, according to the plea {agreement|contract|arrangement}. “In {reality|truth}, as the {defendant|accused|offender} {knew|understood}, the payments were not for those {legitimate|genuine} services {but|however} {instead|rather} were {simply|just|merely} in exchange for the {client|customer} {referral|recommendation}.”
In June 2015, a runner brought Sutor {a prospective|a potential} {client|customer}. The following April, Sutor {submitted|sent} a letter to the {insurance company|insurance provider|insurer} {falsely|wrongly|incorrectly} {stating|specifying|mentioning} the {client|customer}, who was {actually|really|in fact} an undercover {agent|representative}, {had|had actually} {received|gotten} chiropractic treatment {totaling|amounting to} $24,000 to settle {a bodily|a physical} injury claim.
Per the {agreement|contract|arrangement}, Sutor pleaded guilty to one count of conspiracy to {commit|dedicate|devote} {health care|healthcare} {fraud|scams}. The {crime|criminal offense|criminal activity} {carries|brings} {a maximum|an optimum} of {10 years|ten years} in {prison|jail} and $250,000 in fines. {In light of|Because of|Due to} Sutor’s cooperation with {law enforcement|police}, {prosecutors|district attorneys} are {asking for|requesting|requesting for} 10 to 16 months, plus {up to|as much as|approximately} $55,000 in fines and $14,600 in restitution, according to the plea {agreement|contract|arrangement}.
Brasel will {determine|identify|figure out} the {final|last} sentence at a later date. In the meantime, Brasel {released|launched} Sutor on his own recognizance.
Sutor, who {graduated|finished} from Hamline University School of Law School in 2008, {specializes in|focuses on|concentrates on} {personal injury|injury|accident} cases, such as {car|vehicle|automobile|cars and truck} {accidents|mishaps}, {bicycling|cycling} {accidents|mishaps} and falls, according to his website.Source: startribune.com