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DALLAS - Trey Allen, P.C., a professional corporation, which was previously known as the Law Office of John H. Allen, III, P.C., pled guilty today in federal court before U.S. Magistrate Judge Paul D. Stickney, to an information charging conspiracy to commit mail fraud and health care fraud in connection with the firm's involvement in defrauding insurance companies and clients, and receiving kickbacks, as part of a staged accident scheme, announced U.S. Attorney Richard B. Roper of the Northern District of Texas. Sentencing is set for January 7, 2009, before U.S. District Judge Jorge A. Solis. As part of the agreement with the government, the firm agrees to pay restitution in the total amount of $840,000 and serve a five-year term of probation. Restitution is due and payable immediately, however, according to the agreement, the U.S. is aware that Trey Allen, P.C. has a limited ability to satisfy the entire amount of restitution. Therefore, a payment of $50,000 was made when this plea agreement was executed. A second installment of $150,000 will be paid at the time of sentencing. Payment of the $640,000 balance will be made in equal monthly installments during the term of probation and will be a condition of probation. John H. Allen, III has personally agreed to guarantee payment of the final portion of restitution. Trey Allen, P.C.'s clients included clients claiming to have suffered personal injuries resulting from motor vehicle accidents (accident clients). Trey Allen, P.C. processed personal injury cases by filing claims with insurance companies for physical injuries and medical expenses, including those for chiropractic treatment, incurred by the accident clients. Sometime prior
to 2000, and continuing through February 2007, Trey Allen, P.C. hired
legal assistants to coordinate soliciting personal injury clients and
recruiting chiropractors, and direct the filing of personal injury claims
against insurance companies. According to the factual resume, two of
Trey Allen P.C.'s legal assistants have pled guilty to criminal violations
related to their activities as legal assistants of the Trey Allen, P.C.
law firm. Defendant "Tommy" Tung Tran pled guilty in February
2008 to one count of conspiracy to commit mail fraud and health care
fraud. He admitted he processed insurance claims on automobile accident
claims that arose from accidents he knew were "staged." His
sentencing date has not yet been set. They admitted, however, they had an arrangement with numerous chiropractors in the Dallas/Fort Worth (DFW) area in which they would refer business to the chiropractors and, in return, the chiropractors would pay the legal assistants a cash kickback out of the settlement proceeds. The cash kickback was 30% - 40% of the amount paid to the coconspirator chiropractors by Trey Allen, P.C., which resulted in inflated medical bills being presented to the insurance companies. The legal assistants referred accident clients to the coconspirator chiropractors for treatments from injuries resulting from automobile accidents. Trey Allen, P.C. would submit the chiropractic treatment records to insurance companies, would receive insurance settlement proceeds in return, and would distribute the settlement proceeds among the interested parties, including the coconspirator chiropractors. The coconspirator chiropractors, upon receiving insurance settlement funds from the firm, then paid a cash kickback to the legal assistants. The funds received by the legal assistants, as a result of the kickback scheme, were in actuality, a reduction of the coconspirator chiropractor fees, which rightfully belonged to the accident clients. The kickback scheme
run by the Trey Allen P.C. legal assistants could not have been successful
without using the Trey Allen, P.C. law firm, and the Trey Allen, P.C.
law firm directly benefitted from the illegal kickback arrangement as
it received one-third of every case settlement brought to the firm by
its legal assistants. In total, there have been 27 total convictions, 22 to the main indictment and five to informations. Eleven defendants have been sentenced to date. U.S. Attorney Roper
praised the investigative efforts of the Internal Revenue Service -
Criminal Investigation, the FBI and the U.S. Postal Inspection Service.
Assistant U.S. Attorney Chris Stokes is prosecuting the cases. |
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