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| For
Immediate Release: |
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For
Further Information Contact: |
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| April
27, 2005
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| Office
of The Attorney General
-
Peter C. Harvey,
Attorney General
Division
of Criminal Justice
- Vaughn L. McKoy, Director
Office of the Insurance Fraud
Prosecutor
- Greta Gooden Brown, Insurance
Fraud Prosecutor
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Rachel
Sacharow
609-984-1936
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| Essex
County Businessman Sentenced for Auto Insurance
and Chiropractic Fraud Scam
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TRENTON
- Division of Criminal Justice Director
Vaughn L. McKoy announced that an Essex
County man has been sentenced for participating
in a conspiracy to defraud New Jersey
insurance companies out of more than $1.2
million as part of a broad-based chiropractic
and automobile insurance fraud scheme.
According
to Director McKoy and Insurance Fraud
Prosecutor Greta Gooden-Brown, Carl Love,
Jr., 47, Northfield Avenue, West Orange,
Essex County, was ordered by Essex County
Superior Court Judge Paul J. Vichness
to serve three years probation and to
pay court costs and fines. Love was sentenced
after pleading guilty on March 21 to conspiracy
and possession of a weapon by a convicted
felon. The charges resulted from a State
Grand Jury indictment returned on Nov.
17, 2003. Also charged in the indictment
were Dr. Lisa Tsilionis, her former husband,
Dr. George Tsilionis, and Rudolph Hora.
The indictment alleged that between Feb.
9, 1996 and March 31, 1999, Love, the president
and owner/operator of Love Courier, Inc.
and Essex Shuttle, Inc., used his transportation
companies to funnel patients to the Tsilionis’
chiropractic office (Allied Trauma) located
in East Orange. In so doing, the Tsilionis’
increased the number of patients and the
amount of Personal Injury Protection (PIP)
claims submitted to insurance companies
for payment of various medical, diagnostic,
and chiropractic treatments. Based on Love
directing patients to Allied Trauma, it
was charged that the Tsilionis’ fraudulently
billed 30 different insurance companies
more than $1.2 million in PIP claims which
sought payment for chiropractic services
and electric diagnostic tests known as Somatosensory
Evoked Potentials (SSEP) - chiropractic
procedures that are frequently used to diagnose
injuries in connection with automobile accidents.
The insurance companies paid more than $435,000
on claims submitted by the Tsilionis’
and Allied Trauma.
Love’s
corporations ceased operation following
the execution of search warrants by investigators
assigned to the Office of the Insurance
Fraud Prosecutor. Additionally, Love’s
corporate bank accounts were frozen and
forfeited to the State. A lien was also
filed on Love’s West Orange home.
Love subsequently filed for bankruptcy.
State
Investigator Kristen Marcus, Special State
Investigator Jeremy Rabe, Civil Investigator
Julia Ferreira, and Deputy Attorney General
Steven B. Farman were assigned to the investigation.
DAG Farman represented the Division of Criminal
Justice - Office of Insurance Fraud Prosecutor
at the sentencing.
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