A Beverly Hills surgeon and his girlfriend who built their fortune from vulnerable addicts during recovery have pleaded guilty to a one-million-dollar health insurance scheme. on Friday.
Randy Rosen and Liza Vismanos are best known for paying patients from various Southern California sobriety homes to participate in medically unnecessary transplant surgeries and cortisone shots as part of their treatment. in their plans.
The pair have been tagged to defraud insurance companies of about $676 million for unnecessary medical procedures and drug testing of patients they recruit to their offices until they arrested in 2020. At the time of their arrest, they received $52 million from insurance providers.
Rosen pleaded guilty on August 12 to filing fraudulent health insurance claims on a white-collar charge and faces 10 years behind bars, according to the documents. The surgeons who have been freed have dropped other refuted charges.
Meanwhile, Vismanos pleaded guilty to health insurance fraud and was denied many other charges. She is under house arrest.
“This is the largest prison sentence ever awarded to a fraudulent workers’ compensation insurance provider in California,” the Orange County District Attorney said in a statement. ‘Dr. Rosen uses vulnerable sober survival patients who are desperately trying to battle their demons as an ATM for money. He doesn’t care about his patients; he is only interested in making as much money as possible’
Randy Rosen and his girlfriend Liza Vismanos, pleaded guilty to stealing millions of dollars from insurance companies. Both were arrested and charged in May 2020 for paying vulnerable patients from sober homes in Southern California to participate in physically unnecessary transplant surgeries. medical and cortisone shots as part of an elaborate scam.
Orange County District Attorney Todd Spitzer said, ‘Dr. Rosen uses vulnerable sober survival patients who are desperately trying to battle their demons as an ATM for money. ‘
Rosen runs a surgical center called Wellness Wave while Vismanos runs the Lotus Laboratories poison lab in Los Alamitos. The surgeon paid the patient to test the drug at Vismanos’ lab – prompting her to bill at least 22 different insurance providers for more than $3 million.
The duo worked to sell Naltrexone implants and cortisone shots to their patients to prevent them from relapse into drugs and alcohol. Patients will be bound by being offered an incentive or part of an insurance payment to undergo various procedures.
Prosecutors claimed the couple targeted sober living homes because it was a ‘large market’ in Southern California, according to court documents. Owners of these homes and doctors can make millions of dollars from their patients because insurance companies across the state are required to pay for medical expenses, including medical expenses. for sober living homes.
‘A doctor can easily take advantage of the vulnerability of drug addicts by ignoring the fact that a patient needs comprehensive treatment (mental and physical) to recover from the disease,’ the document written by the court.
‘Typically, doctors will work hand-in-hand with owners of sober homes, other drug addicts, and what will be known as ‘body brokers’ to increase their profits .
Surgery logs from Rosen’s practice show him performing nearly 72 surgeries a day with the fastest one being under a minute. According to prosecutors, the cost of the procedure is about $4,000 and can be done safely in about 15 minutes.
In addition to the surgeries, Rosen is also alleged to have paid patients to undergo unnecessary drug tests and be sent to Lotus Labs medical lab in Los Alamitos (pictured), owned by the department owned by Vismanos
The surgeon, known as Spitzer County District Attorney’s ‘real-life Frankenstein’, was remodeling a $3.2 million mansion in the Brentwood hills, Los Angeles when they were arrested and incarcated at the jail Orange County.
The million-dollar mansion has a lap pool, wine cellar and spectacular views of downtown Los Angeles, the Santa Monica Mountains and the Pacific Ocean, according to The OC Register.
The couple splurged money on luxury items, including cars, jewelry, fine art, handbags and gold and silver bars.
Under California law, medical doctors are not referred when they or their immediate family could benefit financially.
The duo ignored state policies and were even suspected of having accomplices in the process.
In 2020, other suspects were arrested and are believed to have worked with the duo.
Four other suspects – Robert Mellon, 52, Thomas Douglas, 29, Shea Simmons, 28, and Patrick Connolly, 28 – were accused of acting as Rosen’s so-called ‘body brokers’ and were tasked with the task. human trafficking and ‘sell’ him ‘humans. Guinea’.
The scheme likely resulted in the deaths of 35 patients – many from overdoses, investigators said at the time of Rosen’s arrest, investigators said.