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Federal Government
Medicaid Biller Pleads Guilty To Health Care Fraud PDF Print E-mail
Federal Government
By Administrator   
Thursday, 28 November 2019 07:03
NEW BERN – The United States Attorney’s Office for the Eastern District of North Carolina announced that today in federal court, PAMELA GRACE FAULKNER, 58, of Greensboro, North Carolina, pled guilty to Conspiracy to Commit Health Fraud. 
 
According to the Criminal Information to which FAULKNER pled guilty, FAULKNER conspired with Renee Christine Borunda to commit Medicaid fraud.  FAULKNER was the sole officer of Skeen Services, Inc.  which was a company that offered behavioral health services to Medicaid recipients.  Borunda submitted claims to Medicaid on behalf of Skeen.  In 2013 and 2014, Borunda submitted fraudulent electronic claims that falsely represented that Skeen had provided services to approximately 200 different Medicaid recipients who lived in Beaufort, Greene, Guilford, Lenoir, Mecklenburg, Pitt, and Wilson Counties, when in fact these services were never rendered.  FAULKNER was aware that Borunda was submitting fraudulent claims.  In fact, on numerous occasions, FAULKNER provided Borunda with the names of Skeen clients for whom FAULKNER wanted Borunda to submit false claims.  FAULKNER and Borunda had agreed to split the monies received for these claims.  Medicaid paid Skeen approximately $213,927 for the fraudulent claims.  FAULKNER paid Borunda approximately $144,000 from Skeen’s account.
 
Borunda previously pled guilty to Conspiracy to Commit Health Fraud and Aggravated Identity Theft for her involvement with the health care fraud involving Skeen, as well as fraud involving another company, and the theft of a therapist’s provider number.  On November 7, 2018, Borunda was sentenced to 37 months in federal prison followed by 3 years of supervised release. 
 
United States Attorney Higdon commented: “Medicaid fraud jeopardizes the program that is designed to help serve the most vulnerable members in our society, diverts taxpayers dollars, and increases the cost of healthcare.  The USAO-EDNC is committed to aggressively seeking out, charging, and bringing to justice those who compromise the integrity of this program for their own financial gain.”
 
“This individual wasted taxpayer money that should have gone to people who need health care,” said Attorney General Josh Stein. “My office will protect taxpayers and hold health care providers and practices accountable when they commit fraud.”
 
Agents of the North Carolina State Bureau of Investigation (“SBI”) assigned to the Medicaid Investigations Division of the North Carolina Attorney General’s Office (“MID”), Financial Investigators with the MID, and agents with the Internal Revenue Service - Criminal Investigation Division conducted the investigation in this matter.  Assistance was provided by the Office of Compliance and Program Integrity of the North Carolina Division of Health Benefits, EastPointe, Sandhills Center, and Trillium Health Resources.  The investigation and prosecution of this matter was handled in a partnership between the United States Attorney’s Office for the Eastern District of North Carolina and the Medicaid Investigations Division of the North Carolina Attorney General’s Office.  Assistant United States Attorney John Parris and Special Assistant United States Attorney Mike Heavner represented the United States.
Last Updated on Thursday, 28 November 2019 07:06
 
Three Illegal Immigrants Indicted On Numerous Fraud Charges PDF Print E-mail
Federal Government
By Administrator   
Thursday, 28 November 2019 06:59
RALEIGH – Robert J. Higdon, Jr., United States Attorney for the Eastern District of North Carolina, announces that a federal grand jury in Raleigh has returned indictments charging EDWIN MONROY-ABASOLO, age 30, of Mexico, JOSE QUISTIAN-LUPES, age 34, of Mexico, and OSCAR GEOVANI OLIVERA-HERNANDEZ, age 26, of Honduras with Illegal Reentry of a Deported Alien.
 
Additionally, the grand jury returned an indictment charging JOSE JUAN PEREZ-CAMPOZANO, age 47, of Mexico, with false attestation, fraud and misuse of visas, permits, and other documents, false representation of a social security number, and aggravated identity theft.
 
If convicted of illegal reentry of a deported alien, MONROY-ABASOLO, previously deported and found in Wake County, and QUISTIAN-LUPES, previously deported and found in Wake County, would face maximum penalties of two years’ imprisonment, a $250,000 fine, and a term of supervised release following any term of imprisonment.
 
OLIVERA-HERNANDEZ, previously deported twice and found in Wake County, is alleged to have been previously removed subsequent to an aggravated felony conviction (3 counts of indecent liberties with a child).  Therefore, if convicted, he would face a maximum imprisonment term of 20 years, a $250,000 fine, and a term of supervised release following any term of imprisonment.
 
If convicted of false attestation, fraud and misuse of visas, permits, and other documents, false representation of a social security number, and aggravated identity theft, PEREZ-CAMPOZANO, found in Sampson County, would face maximum penalties of 27 years imprisonment, a $250,000 fine, and a term of supervised release following any term of imprisonment.
 
 
 
 
 
The cases are being investigated by ICE’s Enforcement and Removal Operations and Homeland Security Investigations..
 
Mexican National Extradited From Columbia To North Carolina To Face Drug Charges PDF Print E-mail
Federal Government
By Administrator   
Thursday, 28 November 2019 06:39
United States Attorney Robert J. Higdon, Jr. announced that BERNAVE MILLAN-RASCON, 41, of Mexico, was extradited to the United States from Colombia, South America to face charges of Conspiracy to distribute and possess with the intent to distribute five kilograms or more of cocaine and Possess with the intent to distribute five kilograms or more of cocaine.  A federal indictment charging MILLAN-RASCON was returned on October 18, 2018.
 
 
 
According to publicly filed documents in federal court, it is alleged that MILLAN-RASCON and others have been involved in the international trafficking of cocaine from Mexico into various parts of the United States, including locations in the Eastern District of North Carolina. rom 
 
Foxx Introduces Affordable Housing Bill PDF Print E-mail
Federal Government
By Donna Martinez   
Thursday, 28 November 2019 05:53
Representative Virginia Foxx introduced the Finding Market-Based and Local Solutions to Ensure Access to Housing Act. The bill codifies President Trump’s Executive Order 13878, Establishing a White House Council on Eliminating Regulatory Barriers to Affordable Housing issued in June 2019. The Executive Order aims to assist federal, state, local and tribal governments with recognizing and eliminating barriers to affordable housing.
 

“President Trump’s Executive Order recognizes that multiple factors contribute to the affordable housing shortage across the country and that state and local governments are in the best position to reduce barriers to affordable housing. As state and local officials nationwide seek to increase affordable housing, the federal government’s limited role should be to assist them in identifying the barriers that contribute to the housing supply shortage and assist them in promoting effective land use policies. Enshrining the administration’s collaborative initiatives in our laws would sustain its efforts to make housing more affordable long-term,” stated Foxx.

 
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