NC Attorney General Recovers Millions, Gets Help Investigating Medicare Fraud

Attorney General Roy Cooper is getting extra help to investigate Medicaid fraud in North Carolina after a successful year recovering funds from those accused of cheating the government medical program for the poor.

Cooper's office said Monday investigators recovered $53.5 million in the federal fiscal year ending Sept. 30, with 22 criminal convictions and 18 civil settlements. The state's Medicaid Investigations Unit recouped $43.6 million the year before and more than $400 million over the past decade.

Last year's largest recovery came when Pfizer paid $25.5 million in November 2009 -- resolving allegations the company paid kickbacks and marketed drugs for unapproved uses so it could sell more pharmaceuticals.

The state budget has money to nearly double the Medicaid unit with 25 attorneys and investigators.


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  • by Doc Location: EAST on Jan 4, 2011 at 09:34 AM
    As a doctor who takes a cut in pay to offer medicaid; and feels helping the less fortunate was the charitable thing to do, even though financially (after overhead) its not worth it, I now feel like I'm in a lawyers witch hunt. Therefor I will not see these patients any longer. My advice to you is to seek out these lawyers who do society so much good and see if they can help you find another evil doctor; perhaps one they can soon find a way to sue because of one of his employees is mad with him and sabotages his office. Good day
  • by Barlow Location: Winterille on Jan 4, 2011 at 02:45 AM
    "Pfizer paid $25.5 million in November 2009". Peanuts! Just a cost of doing business for them. They'll continue to break the law and pay there little fines. Why shouldn't they? Nobody goes to jail and it pays great! Hey, but get caught peddling a pill in the ghetto, you can kiss your butt goodbye. More justice in America
  • by ATT: ROY COOPER Location: FBI WON'T HELP on Jan 3, 2011 at 09:29 PM
    ATTN: ROY COOPER BEAUFORT COUNTY MEDICAL CENTER IN WASHINGTON, NC HAS BEEN COMMITTING MEDICARE/MEDICAID FRAUD SINCE 1990. IT WAS SO BAD THAT THE CEO AND CFO WERE TAKING KICK-BACKS FOR EQUIPMENT AND SERVICES PROVIDED BY THE HOSPITAL UNDER 2 SEPARATE LLC'S THAT WERE USED TO BILK MEDICARE/AID. LOOK AT THE BOOKS FROM 1990 FORWARD. PLEASE, PLEASE HELP.
  • by Justice on Jan 3, 2011 at 06:23 PM
    Look at the trans-park in Kinston and see who scammed the taxpayers out of those millions!!
  • by Wen Cho Wa Location: wilson on Jan 3, 2011 at 05:25 PM
    Would be a good idea to investigate the companies which advertise on TV and guarantee a free wheelchair or mobile scooter for Medicaid or Medicare receipients. These "small business" people are one of the reasons medical expenditures rise so rapidly.
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