“This guilty plea will hold [Windsor] accountable for his greed-based criminal conduct.” FBI Special Agent J. Britt Johnson.
In the city of Atlanta a physician has changed his “not guilty” plea to “guilty” to Health Care Fraud. He now admits that he did indeed deliberately and routinely bill insurance companies for surgical monitoring services that he never performed.
According to the U.S. Attorney’s Office, Northern District of Georgia, Doctor Robert E. Windsor of Forsyth County, confessed his crimes Friday before U.S. District Court Judge Amy Totenberg.
Evidence presented in court by investigators exposed the doctor’s fraud through analysis of Medicare billing records, which showed the wayward MD had stolen more than $1,100,000 for medical services he did not perform, over a 3-year period from January 2010 – July 2013.
J. Britt Johnson, FBI Special Agent in charge, described the doctor’s behavior as, “not only criminal. It was reckless and irresponsible.”
“While Windsor’s repeated practice of falsely billing for services that he himself did not render, is at the heart of these federal charges, the potential harm to those patients who were not getting the required services, should not be overlooked,” Johnson said.
U.S. Attorney John Horn said “this physician put patients at risk by passing the surgical monitoring work he was paid to perform to an unauthorized medical assistant and then lied about it.”
“This doctor’s scam left patients without a qualified physician monitoring their neurological health during surgery and cheated other health care providers out of over $1 million,” Horn said.
According to the U.S. Attorney’s Office, Windsor entered into a contract with American Neuro-monitoring Associates, a Maryland-based corporation, to provide a medical service called intra-operative monitoring. The procedure involves a physician observing a patient’s nerve and spinal chord activity during surgery to prevent dangerous side effects.
Windsor was responsible for providing a medical report after each surgery, and ANA and its sister company would bill patients and health care benefit programs, including private health insurance companies, for the monitoring.
But during that three-year span, the doctor routinely assigned the work to a medical assistant who impersonated him by using his log-in credentials.
Medical Assistants are not physicians and are not legally allowed to perform physician-level monitoring.
Windsor submitted reports falsely stating that he had conducted the monitoring, which ANA and its sister company relied upon in billing health care benefit programs for his services.
On several occasions, Windsor billed ANA for monitoring services he purportedly performed when he was actually traveling on international flights.
“This guilty plea will hold [Windsor] accountable for his greed-based criminal conduct,” said Johnson with the FBI.
The daffy doctor’s sentencing is scheduled for June 3.