Walker chiropractor and his wife convicted of fraud

Blue Cross Blue Shield of Michigan's Corporate and Financial Investigations Department (CFI) received complaints on the Anti-Fraud Hotline for services not rendered by a chiropractor in Walker. The complainants stated massage services were rendered, but other services not received were billed to cover the cost of the massages.

Several undercover appointments conducted by Blue Cross confirmed the allegations were valid. Services such as mechanical traction, hot or cold packs, neuromuscular reeducation, outpatient visits and chiropractic manipulation were billed to cover the cost of massage therapy. Patients were billed $55 for the cost of massage. In addition, Standale Chiropractic submitted claims for $5,731 for services performed from Feb. 21, 2013 to March 3, 2013, by Brandon Berg, D.C. Undercover visits confirmed Dr. Berg was out of the state during this time frame.

The Walker Police Department was contacted and given these findings. On Dec. 17, 2013, a search warrant was conducted by the Walker Police Department at the Standale Chiropractic office. Warrants were issued for Amy and Brandon Berg for health care fraud charges (false claim) through the Kent County Prosecutor’s Office. Dr. and Mrs. Berg were arrested and plead guilty to one count of health care fraud (false claim). Sentencing was scheduled for May 6, 2015.

Blues members who suspect health care fraud are urged to call our Anti-Fraud Hotline at 1-800-482-3787 or report fraud through our website at bcbsm.com.