Santa Ana, Calif. – A Beverly Hills surgeon has been sentenced to 10 years in state prison for stealing nearly $38 million in an elaborate insurance fraud scheme that involved hiring body brokers to pay patients at Southern California sober living homes to undergo medically unnecessary surgeries, medical testing, and other medical procedures.
Dr. Randy Rosen pleaded guilty on August 12, 2022 to eight felony counts of insurance fraud and two aggravated white collar crime enhancements for a loss over $500,000 in two separate cases in connection with recruiting and hiring numerous body brokers to find and pay patients to have medically unnecessary Naltrexone implant surgeries and cortisone shots. Rosen was ordered to pay $9.1 million in restitution and lifted more than $22.35 million in outstanding workers’ compensation liens which frees that money for other injured workers. Rosen’s girlfriend Liza Visamanos, 43, of Los Angeles, guilty to two felony charges of insurance fraud. She was sentenced to one year of home confinement, formal probation, and ordered to pay restitution.
In addition to submitting patients to medically unnecessary procedures, Dr. Rosen also required the patients to undergo unnecessary drug tests which he sent to Lotus Laboratories, which is owned by his girlfriend, for testing. California law prohibits such referrals where the physician or his immediate family has a financial interest with the person or entity receiving the referral. It is alleged that Lotus Laboratories fraudulently billed at least 22 different insurance providers more than $3 million.