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Bra Store for Cancer Patients Accused of Committing Medicaid Fraud

MOREHEAD CITY, N.C. (WNCT)– The State of North Carolina is implicating “A Perfect Fit for You” of defrauding it of more than $12 million through Medicaid claims without correct documents.

The state submitted a movement to intervene in the event through the State Attorney General’s Office on Jan. 31. The store’s owner, Margaret Gibson, is likewise implicated by her previous business partner, Shelley Bandy, of taking $7.8 million from business for personal use.

Inning accordance with court files in NC Business Court, “APF4U (A Perfect Fit for You) has actually gotten more than $12 million in payments from the North Carolina Medicaid Program for product and services it apparently offered … An audit commissioned by the receiver discovered APF4U does not have the required files to support its claims.”.

Based upon an audit, 72 of 90 claims assessed had no documents for products billed to the state. Court files state Bandy was accountable for submitting the claims. Learn about Medicaid Fraud at www.medicaidfraudhotline.com.

Gibson’s lawyer stated in a declaration

Ms. Gibson did not oppose the State of North Carolina’s evaluation of A Perfect Fit For You, and anticipates them continuing the examination that she had actually begun prior to the filing of the suit. Ms. Gibson is positive that the State’s work will bring the real truths to light. With regard to Shelley Bandy’s accusations, Margaret Gibson has actually rejected each of the claims asserted versus her and will strongly protect herself versus the claims. She is positive that, through the litigation procedure, the claims will be shown to be incorrect”.

The case is presently on hold.

State Accuses Bra Business of $12M in Medicaid Fraud

MOREHEAD CITY, N.C. (WNCT)– The state implicates A Pefect Fit for You of defrauding it of more than $12 million through Medicaid claims without appropriate documentation.

The store’s owner, Margaret Gibson, is likewise implicated by her previous business partner, Shelley Bandy, of taking $7.8 million from business for personal use.

The state submitted a movement to intervene in the event through the State Attorney General’s Office on January 31.

Inning accordance with court files in NC Business Court, “APF4U (A Perfect Fit for You) has actually gotten more than $12 million in payments from the North Carolina Medicaid Program for product and services it presumably offered … An audit commissioned by the receiver discovered APF4U does not have the essential files to support its claims.”.

Based upon an audit, 72 or 90 claims assessed had no documents for products billed to the state. Court files state Bandy was accountable for submitting the claims.

Gibson’s lawyer stated in a declaration, “Ms. Gibson did not oppose the State of North Carolina’s evaluation of A Perfect Fit For You, and anticipates them continuing the examination that she had actually begun prior to the filing of the suit. Ms. Gibson is positive that the State’s work will bring the real realities to light. With regard to Shelley Bandy’s claims, Margaret Gibson has actually rejected each of the claims asserted versus her and will strongly safeguard herself versus the claims. She is positive that, through the litigation procedure, the claims will be shown to be incorrect.”.

Area Healthcare Company Owner Guilty of Medicaid Fraud

The owners of a home health care company that had workplaces in Dayton, Cincinnati and Columbus were condemned today of Medicaid scams, inning accordance with the Ohio Attorney General’s Office.

A jury discovered Ethel Freeman-Nnonah, 48, of Columbus, guilty of felony counts of Medicaid scams, theft, forgery, and damaging proof.

RELATED: Auditor: Darke Co. ambulance company over-billed Medicaid by $448,00.

Nnonah was director of medical services at Prudent Healthcare Services LLC, and falsified and created medical evaluations and patient plans-of-care and bought various workers to do the very same, inning accordance with the Ohio Attorney General’s Office.

Authorities say Nnonah and co-defendant Tinisee Harris, 45, likewise damaged patient files they were bought to produce pursuant to a subpoena served on the company’s Dayton workplace.

Nnonah’s actions led to more than $101,000 in inappropriate payments to the company from the Ohio Department of Medicaid, the state says.

Harris of Reynoldsburg was condemned of felony counts of Medicaid scams and damaging proof. He was a company administrator.

The guilty decisions followed a seven-day trial in Franklin County Common Pleas Court. The 2 are arranged for sentencing April 13.

The case was examined and prosecuted by the Ohio AG’s Health Care Fraud Section.