The North Carolina Medicaid Program will receive more than $176,000 in restitution and other costs from a $39.5 million multistate Medicaid fraud settlement, Attorney General Josh Stein announced Wednesday.
The monetary reward is a result of an investigation that alleges ResMed Corp., a Minnesota health care goods and services manufacturer, was involved in filing false claims to several state Medicaid programs.
Prosecutors say the company violated the Federal False Claims Act and the North Carolina False Claims Act.
“Companies cannot misuse their relationships with health care providers to cheat Medicaid,” Stein said. “My office will hold accountable any business that commits fraud and wastes taxpayer dollars.”
The investigation was conducted by the National Association of Medicaid Fraud Control Units team, the U.S. Department of Justice and United States attorney’s offices in California and South Carolina.
Investigators found that ResMed colluded with suppliers, sleep laboratories, physicians and other health care providers in a scheme to submit false Medicaid claims.
The North Carolina Bureau of Investigation also has a special unit that works with the attorney general on Medicaid abuse cases called the Medicaid Investigations Division. It has recovered more than $850 million in restitution and penalties for North Carolina so far.