Repeat Offender

496
Cropped shot of a handsome mature male doctor using a tablet while standing in the hospital corridor

You have to wonder about people who get caught defrauding a healthcare program – and then do it again. That is the case with an Ohio doctor who is serving a 33-month term in federal prison for his role in defrauding Medicare and Medicaid for more than $1 million.

A podiatrist was caught carrying out a Medicare fraud scheme at his healthcare clinic, Community Foot & Ankle of Mentor, to get money for claims submitted to both programs. The scheme worked – until Medicare and Medicaid officials learned he was the true owner of his practice. (He was not supposed to participate in either program because of a previous criminal conviction.)

Medicare footed the bill for more than $968,000 in services he performed, and Medicare was billed for more than $219,000. All the claims were submitted between 2014 and 2018 and apparently another podiatrist provided the services.

The man from Mentor pleaded guilty to healthcare fraud. In addition to the prison sentence, he was ordered to pay $453,615 in restitution and must forfeit $75,000 in property.

This wasn’t this man’s first rodeo. He was previously convicted in 2013, along with dozens of others, of conspiracy to commit bank fraud. He admitted to acting as a straw buyer for Florida real estate for an Akron man who led a mortgage fraud scheme.

The State Medical Board of Ohio suspended the podiatrist’s medical license in December of 2013, but reinstated it the following March. (That’s just not right.)

Today’s Fraud of the Day comes from the article, “Mentor podiatrist sentenced to prison for health care fraud,” published July 29, 2019 on Cleveland.com.

CLEVELAND, Ohio — A Mentor podiatrist was sentenced Monday to 33 months in federal prison for defrauding Medicare and Medicaid by submitting claims worth more than $1.1 million for treatment he provided, even though he was prohibited from doing so.

Dr. Robert Rosenstein executed a scheme through Community Foot & Ankle of Mentor to get money for claims submitted to both programs, according to charging documents filed in March.

SHARE
Previous articleSpoiled Specimens
Next articleBogus Bonuses

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.