NC Woman Sentenced to Prison for $500K Healthcare Fraud Scheme

A North Carolina woman was sentenced to four years in prison for committing a $506,000 fraud on the Virginia Medicaid program. According to court documents, Paulette Jackson, 66, Williamston, was the owner and operator of United Medical Home Oxygen & Medical Supply, a Medicaid-enrolled durable medical equipment provider located in Franklin. When she sought reimbursement from Virginia Medicaid for a certain type of liquid oxygen container refills, Medicaid would reimburse Jackson for her actual oxygen cost plus 30 percent. Jackson inflated the amounts she reported to Medicaid were her actual costs of oxygen. From in 2010 through April 2016, Jackson reported to Medicaid that her costs 45 to 78 times her actual cost of oxygen. From April 2016 through August 2017, Jackson inflated her costs at a rate of 22 times her actual cost of oxygen. By falsely reporting her actual oxygen costs, Jackson, through United Medical, improperly billed Medicaid $506,058.66.

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