May 2, 2014: The Pennsylvania Insurance Fraud Prevention Authority (IFPA) and the Pennsylvania Chapters of the International Association of Special Investigation Units (IASIU) honored Assistant District Attorney John Doyle of the Philadelphia District Attorney’s Office with a 2014 Fraud Fighter Award during the recent PA Insurance Fraud Conference in Hershey.
The award, presented by IFPA executive director Ralph Burnham before over 500 conference attendees, was given in recognition of Doyle’s expertise and skills in securing the criminal convictions of Center City dentist Dr. Owen J. Rogal and his daughter Kim Rogal of The Pain Center.
The heart of the alleged criminal scheme was the Rogals’ billing to numerous insurers of an $800 “radio frequency surgery” pain relief procedure done on joint, nerve and muscle tissue areas – as a much more highly invasive and risky $4,800 radio frequency surgery procedure performed by a neurosurgeon in a hospital setting on a patient’s brain. Dr. Rogal was alleged to have performed and directed medical doctors in performing the procedures at The Pain Center, while office manager Kim Rogal billed insurers.
In May 2013, Doyle successfully prosecuted the Rogals, who had been accused of bilking insurers of some $1 million through $5 million in fraudulent medical billing from 2002 through 2011. Doyle’s skillful presentation of witness testimony and documentary evidence to a jury overcame defense arguments that the alleged false billings were merely a dispute between the Rogals and insurers regarding interpretation of complex medical codes and terminology.
With jury deliberations lasting less than two hours, the Rogals were found guilty of all charges, including corrupt organizations, criminal conspiracy, and multiple counts of insurance fraud, theft by deception, and attempted theft by deception. In their November 2013 sentencing, Dr. Rogal was ordered to immediately begin serving one to seven years imprisonment, while Kim Rogal was placed under house arrest for up to 23 months and ordered to serve probation for five years and perform 200 hours of community service. Each were sentenced to pay restitution of $372,845.88, $55,000 in fines and court costs.
“Insurance fraud is a crime that we all pay for, through needlessly high insurance premiums,” said Burnham. “We are honored to present Fraud Fighter Awards to those whose hard work and dedication help safeguard the Commonwealth’s insurance consumers against higher costs. It is through the work of skilled criminal prosecutors, such as Assistant District Attorney Doyle, that all who would cheat and steal by engaging in insurance fraud may learn to avoid carrying out their criminal schemes in the Commonwealth of Pennsylvania.”
A prosecutor with the Philadelphia District Attorney’s Office for more than 28 years, Doyle has worked in the homicide unit for more than 18 years, exclusively prosecuting murder and vehicular homicide cases, and handling over 150 jury trials before joining the District Attorney’s Insurance Fraud Unit in 2012. Doyle is a graduate of LaSalle University and obtained his law degree at Gonzaga University.
Also recognized with presentations of 2014 Fraud Fighter Award were: Larry Patterson, a detective with the Delaware County District Attorney’s Criminal Investigation Division, for successful resolution of multiple insurance fraud cases referred for investigation by IASIU members; and two former IFPA board members, John Henry of Motorists Insurance Group and Edward Litchko of Independence Blue Cross, for their years of service in guiding the IFPA’s funding of statewide insurance fraud prosecution and public fraud awareness education programs.
The IFPA was created in 1994 by the Pennsylvania General Assembly. Act 166, Pennsylvania’s Insurance Fraud Prevention Act, arms law enforcement with the resources necessary to fight insurance fraud in the Commonwealth. IASIU, founded 1984, is a non-profit organization dedicated to advancing the efforts of law enforcement and insurance industry fraud investigation professionals in combating insurance fraud. For more information about IFPA and IASIU visit http://www.helpstopfraud.org and http://www.iasiu.org.