This was a big deal: a $200 Million Medicare Fraud operation where around 40 people have been sentenced to prison time for doing things like submitting false invoices to Medicare for mental health services that never happened.
This week, a federal jury came back with a verdict on the last 2 defendants in this big Department of Justice investigation into this South Florida Medicare Fraud enterprise involving seven American Therapeutic Clinics scattered in different cities and lots of players.
The big guns have already been dealt with by the justice system and are behind bars.
Terence Lenamon represented one of the last two defendants in the sting — Roger Bergman, a 65 year old physician’s assistant, and Mr. Bergman was found guilty by the jury this week. Bergman and his co-defendant, a 55 year old patient recruiter named Rodolfo Santaya, will be sentenced by a federal judge at a sentencing hearing in the future.
SInce this is an ongoing case, Terry Lenamon’s position on Mr. Bergman’s situation in this complicated, immense fraud can best be described by language taken from Terry Lenamon’s Closing Statement in the trial (p. 1242):
Because what's really going on here is Roger Bergman is a physician's assistant trying to make a living. And when he's working day in and day out, he's not thinking about committing Medicare fraud or falsifying information, he's thinking about, you know, my car broke down this morning and I may not be able to make it in. And I got to make up for those files so I can dictate those files because what I do is very simple. This is what Roger Bergman does.
And don't let the government fool you about his responsibility. He's a physician's assistant. He takes the place of a physician legally. He interviews them. He does two things. He does a note and he does an initial evaluation. He gets paid $30 for the initial evaluation and $15 for a note. It may take him five minutes to do a note, it may take him ten, it may take him 15 to do an initial evaluation, it may take him 20.
But when he is done, he writes it on a yellow pad. Those yellow pads are kept, were kept and destroyed by the government. And then he dictates that information and it's supposed to be madeinto a chart. …
Prediction: Win on appeal.