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Medicaid Fraud

May 4, 2018

North Carolina man sentenced for Medicaid fraud

RALEIGH (AP) The former head of a North Carolina health care company has received a prison sentence in connection with a Medicaid fraud scheme. A news release from the U.S. Department of Justice said 47-year-old Shephard Spruill was sentenced to eight years in prison followed by three years of supervised release. Spruill was the CEO […]

May 13, 2015

Criminal Practice — Doctor Faces Extra Evidence for Billing Fraud

U.S. v. Bajoghli (Lawyers Weekly No. 15-01-0433, 22 pp.) (Niemeyer, J.) No. 14-4798, May 11, 2015; USDC at Alexandria, Va.; 4th Cir. Holding: On an interlocutory appeal by the government, the 4th Circuit says a trial judge erred in excluding evidence of a dermatologist’s conduct after investigation for a fraudulent billing scheme and certain “prejudicial” […]

May 13, 2015

Labor & Employment — Public Employees – Termination – Unacceptable Conduct – Rules Violation – Medicaid Approval

Staton v. Union County Department of Social Services (Lawyers Weekly No. 15-16-0426, 26 pp.) (Robert Hunter Jr., J.) Appealed from Union County Superior Court (W. David Lee, J.) N.C. App. Unpub. Holding: There is substantial competent evidence in the record that petitioner (1) approved an unqualified applicant for Medicaid without first reviewing the applicant’s file, […]

Apr 11, 2014

2 NC women sentenced for Medicaid fraud

CHARLOTTE (AP) — Two Charlotte-area women have been sentenced to prison for their roles in Medicaid fraud schemes that federal prosecutors say cheated the federal government out of millions of dollars. Prosecutors say 39-year-old Victoria Finney Brewton of Shelby was sentenced Wednesday to more than nine years in prison. Twenty-seven-year-old Rodnisha Sade Cannon of Charlotte […]

Mar 19, 2014

2 brothers sentenced for health care fraud

Two men from the Carolinas have been sentenced to federal prison for bilking the government of millions of dollars in Medicaid funding.

Feb 27, 2014

Contract – No FCA Claim for Drug Cross-Contamination

U.S. ex rel. Barry Rostholder v. Omnicare Inc. (Lawyers Weekly No. 14-01-0183, 20 pp.) (Keenan, J.) No. 12-2431, Feb. 21, 2014; USDC at Baltimore, Md. (Blake, J.) 4th Cir. Holding: A relator who alleged a drug company violated the False Claims Act when it filed claims for Medicaid and Medicare reimbursement for drugs that were […]

Sep 17, 2013

Dentist pleads guilty to false billing

State officials say a dentist practicing in northeastern North Carolina has pleaded guilty to charges related to falsely billing Medicaid for dental and oral surgery services.

Feb 11, 2013

Charlotte woman convicted of Medicaid fraud

A Charlotte woman has been convicted of defrauding Medicaid of $650,000.

Feb 7, 2013

Woman sentenced in $2.2 million Medicaid fraud

A North Carolina woman is heading to federal prison for her role in a nearly $2.2 million Medicaid fraud scheme.

Sep 12, 2012

Mental health provider arrested for fraud

RALEIGH (AP) — A North Carolina mental health care provider faces more than 15 years in prison following his arrest on 16 felony counts of Medicaid fraud, offering kickbacks and obtaining property by false pretenses.

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