Fraud has long been a problem for the workers’ compensation industry, but in 2022, the industry and law enforcement in California fought back against the problem.
One medical provider who felt the sharp end of the fraud crackdown was a surgeon in Beverly Hills, California, who received 10 years behind bars for fraud.
Dr. Randy Rosen pleaded guilty in August to multiple felonies in connection with what prosecutors said was a “massive scheme and conspiracy” to fraudulently bill insurance companies for unnecessary procedures on drug-addicted patients.
Dr. Rosen was also accused of subjecting patients to unnecessary drug tests that were analyzed by a lab owned by his girlfriend, Liza Visamanos, who ended up pleading guilty to two counts of felony insurance fraud and receiving a year̵7;s house arrest.
In addition to the ten-year prison sentence, the courts also ordered Dr. Rosen to pay $9.1 million in damages and not to seek payment of more than $22.35 million in outstanding workers’ compensation. The story of his conviction was the fourth most read workers comp story Business insurancewebsite 2022.
In November, the California Department of Industrial Relations Division of Workers’ Compensation suspended Dr. Rosen from participation in the state workers’ compensation system because he is a convicted felon.
The shutdown was scheduled to begin in late December unless Dr. Rosen requested a hearing.
Dr. Rosen was one of 178 medical providers suspended by the Division of Workers’ Compensation in 2022 at the end of September.
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