Addicted to Fraud

Geriatric doctor (geriatrician) consulting and diagnostic examining elderly senior adult patient (older person) on aging and mental health care in medical clinic office or hospital examination room

Psychiatrists are supposed to help those in need of mental health services but some take advantage of their patients’ frail states rather than fulfill their professional duties. One psychiatrist from Pennsylvania admitted to orchestrating a “pay for prescription” Medicaid fraud scheme.

Lancaster local Bassam El-Borno, M.D. was charged in June with illegally abusing his position as a psychiatrist to illegally prescribe drugs to patients. Dr. El-Borno was entrusted by Medicare and Pennsylvania’s Medicaid program to safely evaluate patients and provide them with the necessary treatment.

For years, Dr. El-Borno illegally billed Medicaid for ongoing mental health services that were not provided. Rather, he skirted the system by prescribing prescription drugs without properly assessing the patient first and fraudulently charged for continued treatment that never occurred. (Psychiatrists are supposed to help their patients heal from trauma, not cause it.)

Patients would be charged a monthly fee in exchange for being prescribed drugs rather than having to go in for mental health evaluation and treatment. The main drugs Dr. El- Borno illegally prescribed were Schedule II controlled substances such as Adderall and Ritalin. These types of drugs could easily become dangerous and addictive if not managed properly by a licensed mental health professional. (Dr. El-Borno was too addicted to the money he was making to stop and consider the repercussions of addictions he may be causing.)

Schedule II medicines are intended to only be prescribed to patients after being given a diagnosis and under the condition they will receive ongoing treatment. Dr. El-Borno skipped the mental health assessment and charged patients $50 to $75 in cash for each prescription. (He would either mail them to patients or tape the drugs in an envelope outside the office. Sounds like his “business” was more like a thinly veiled drug operation.) 

The U.S. is facing a prescription drug epidemic where addicts are eager to get their hands on stimulants. Those who have taken the oath to do no harm and properly treat their patients are unfortunately the ones most likely to be in the position of taking advantage of struggling addicts.

El-Borno will serve six months of house arrest and five years of probation after pleading guilty to felony charges for violating the Drug Act and Medicaid fraud. He must also pay a $50,000 fine, perform 50 hours of community service, and have his Pennsylvania medical license suspended. (This won’t make up for the irreparable harm he has caused his patients.)

If you think a loved one is abusing prescription drugs call the Substance Abuse and Mental Health Services Administration crisis line at 1-800-662-4357.

Today’s Fraud of the Day comes from an article, “Lancaster County psychiatrist gets house arrest, probation for illegally prescribing drugs,” published by WPMT-TV on September 3, 2020.

LANCASTER COUNTY, Pa. — A Lancaster County psychiatrist charged in June with illegally prescribing drugs to patients will serve six months of house arrest and five years of probation after pleading guilty Thursday, according to Pennsylvania Attorney General Josh Shapiro.

Bassam El-Borno, M.D., 64, will also pay a $50,000 fine, will have his Pennsylvania medical license suspended, and perform 50 hours of community service in exchange for pleading guilty to felony charges of violating the Drug Act for prescribing outside the good faith practice of medicine, failing to keep records, and Medicaid and Insurance fraud, Shapiro said.



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Larry Benson, Senior Director of Strategic Alliances, LexisNexis Risk Solutions - Government

Larry Benson is responsible for developing strategic partnerships and solutions for the government vertical. His expertise focuses on how government programs are defrauded by criminal groups, and the approaches necessary to prevent them from succeeding.

Mr. Benson has 30 years of experience in sales and business development. Before joining LexisNexis® Risk Solutions, he spent 12 years founding and managing two software technology startups. During the 1990s he spent 10 years as a Regional Director helping to grow a New England-based technology company from 300 employees to 7,000. He started his career with Martin Marietta Aerospace working on laser guided weapons and day/night vision systems.

A sought-after speaker and accomplished writer, Mr. Benson is the principal author of “Fraud of the Day,” a website dedicated to educating government officials about how criminals are defrauding government programs. He has co-authored WTF? Where’s the Fraud? How to Unmask and Stop Identity Fraud’s Drain on Our Government, and Data Personified, How Fraud is Changing the Meaning of Identity.

Benson holds a Bachelor of Science in Physics from Albright College, and earned two graduate degrees – a Master of Business Administration from Florida Institute of Technology, and a Master of Science in Engineering from Lehigh University.