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Health Care Fraud

The prosecution and prevention of health care fraud is an important priority of the district, focusing upon fraud matters involving false billings, violations of the Anti-Kickback Statute and other schemes that victimize patients, health care providers, private insurers and government insurers, such as Medicare and Medicare. This district investigates fraud by both corporate and individual defendants, including hospitals, nursing home chains, pharmaceutical manufacturers, durable medical equipment suppliers, individual physicians, therapists and other health care providers. The office leads the newly organized Health Care Fraud Task Force, which coordinates the resources and expertise of federal and state law enforcement agencies to more effectively and efficiently identity and prosecute fraud. In appropriate cases involving health care fraud and fraud on government agencies, the criminal division coordinates with the office's Affirmative Civil Enforcement Program. Recent prosecutions include:

Charlotte Woman Pleads Guilty To Conspiracy To Defraud Medicaid Of More Than $4.3 Million



Mecklenburg Co. Social Worker Pleads Guilty In Connection With Medicaid Fraud Scheme



Huntersville Physician Pleads Guilty To Health Care Fraud And Tax Fraud And Agrees To Pay $6.2 Million To Settle Civil Fraud Claims



Federal Judge Hands Down Prison Sentences To Two Women For Using Stolen Identities To Claim Millions Of Dollars From Medicaid In Related Health Care Fraud Schemes



Former Clinic Owner Pleads Guilty To $3.4 Million Medicaid Fraud Scheme



Charlotte Jury Finds Former Owner of Mental Health Clinic Guilty Of Defrauding Medicaid Using Stolen Identities of Children And Clinicians



Mental Health Counselor Receives Six-Year Prison Sentence For Defrauding Medicaid Of $6.1 Million



Owner Of Charlotte Behavioral Health Company Sentenced To Two Years In Prison For $400,000 Medicaid Fraud Scheme



Charlote Woman Sentenced To 5 Years In Prison For $650,000 Medicaid Fraud Scheme



Charlotte Man Arrested And Charged With Stealing Identities Of Children And Clinicians To Commit Medicaid Fraud

Leader Of Medicaid Fraud Conspiracy Sentenced To 40 Months In Prison For $336,000 Healthcare Fraud & Money Laundering

Former Owner of Wilkesboro Clinical Laboratory Pleads Guilty To Criminal Health Care Fraud And Tax Charges And Agrees To Pay $300,000 To Settle Civil Fraud Allegations

A Charlotte neurologist has agreed to pay $2 million plus interest to the United States to settle civil fraud allegations

A Charlotte woman pleaded guilty in U.S. District Court for her involvement in a health care fraud scheme that attempted to defraud Medicaid of $4.8 million for sham mental and behavioral health services

CHARLOTTE, N.C. - A federal jury sitting in Charlotte convicted a Charlotte woman late Friday, February 8, 2013 of defrauding Medicaid of at least $650,000, obstructing an official proceeding and making false statements in connection with a health care matter

CHARLOTTE, N.C. - A Shelby woman pleaded guilty today for her involvement in a health care fraud scheme that defrauded Medicaid of $8 million for sham mental and behavioral health services

CHARLOTTE, N.C. - A Rowan County woman and her Mecklenburg County co-conspirator were sentenced to prison for their role in a scheme to defraud Medicare and Medicaid and related offenses

CHARLOTTE, N.C. – A Gaston County woman was sentenced to serve 15 months in prison for her role in a scheme to defraud North Carolina Medicaid

CHARLOTTE, N.C. – A Shelby woman pleaded guilty in U.S. District Court today for her involvement in a health care fraud scheme that defrauded Medicaid of at least $6.1 million

CHARLOTTE, N.C. – A Charlotte woman charged with defrauding Medicaid of at least $650,000 was arrested in Goldsboro, N.C.

CHARLOTTE, N.C. – A Mt. Holly woman was sentenced to 54 months in prison and three years of supervised release for her role in a conspiracy to commit health care fraud and for money laundering charges

Charlotte woman sentenced to 34 months in prison for Health Care Fraud Charlotte, N.C.

Two women plead guilty to Health Care Fraud conspiracy and related offenses Charlotte, N.C.

Owner of Charlotte Health Care company sentenced to prison for $1.9 million Medicaid Fraud Charlotte, N.C.

If you suspect Medicare or Medicaid fraud please report it by phone at 1-800-447- 8477 (1-800-HHS-TIPS), or E-Mail at HHSTips@oig.hhs.gov. To report Medicaid fraud in North Carolina, call the North Carolina Medicaid Investigations Division at 919-881-2320.

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