A Forsyth County doctor has pleaded guilty to health care fraud after he reportedly filed $1.1 million worth of claims for surgical monitoring he did not perform.
Robert E. Windsor, 54, of Cumming filed the claims from January 2010 through July 2013.
The charges stem from Windsor's contract with American Neuromonitoring Associates, P.C. (ANA), a Maryland corporation, to provide a medical service called intra-operative monitoring - in which a doctor monitors nerve and spinal cord activity during surgery.
Windsor's contract said he would provide real-time monitoring via an online-platform and file a report at the end of each surgery. ANA and its sister company would bill patients and health care benefit programs, including private health insurance companies, in which Windsor was paid a fee for each surgery he monitored.
Windsor instead assigned a medical assistant the work - one who was not qualified to perform the monitoring. Records show on several occasions, Windsor billed the ANA for the service when he was actually traveling on an international flight.
Analysis of Medicare billing data and complaints to the Inspector General led to the discovery of fraud.
"The conduct of Dr. Windsor was not only criminal, it was reckless and irresponsible. While Dr. Winsor's repeated and extensive practice of falsely billing for services that he himself did not render is at the heart of these federal charges, the potential risk and harm to those many patients who were not getting the required services should not be overlooked. This guilty plea will hold Dr. Windsor accountable for his greed based criminal conduct,” said J. Britt Johnson, FBI Special Agent in Charge.
Windsor's sentencing is schedule for June 3 at 10:30 a.m.
The FBI, Department of Defense - Defense Criminal Investigative Service Department of Health and Human Services - Office of the Inspector General are investigating the case further.
Friday
April 19th, 2024
12:28AM
